MEDICARE: MENCH MARIE MALAGAR SUNER PILONES OTR, MAOT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	026522	NY

General Provider Information

NPI Number	:	1538877444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENCH MARIE MALAGAR SUNER PILONES OTR, MAOT

Provider Business Mailing Address
First Line	:	RCM TECHNOLOGIES, INC., 575 EIGHTH AVE. 6TH FLOOR
Second Line	:
City	:	NEW YORK CITY
State	:	NY
Zip	:	10018
Country	:	US
Telephone Number	:	917-286-5260
Fax Number	:	917-286-5296

Provider Business Practice Location Address
First Line	:	RCM TECHNOLOGIES, INC., 575 EIGHTH AVE. 6TH FLOOR
Second Line	:
City	:	NEW YORK CITY
State	:	NY
Zip	:	10018
Country	:	US
Telephone Number	:	917-286-5260
Fax Number	:	917-286-5296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	11/09/2022

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