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NPI Code Detail

MEDICARE: MR. LASZLO KOVACS OTA

MEDICARE: MR. LASZLO KOVACS OTA
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
1224Z00000XOccupational Therapy Assistant005408NY

General Provider Information

NPI Number : 1558971028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LASZLO KOVACS OTA
Provider Business Mailing Address
First Line : 42 FOX RDG
Second Line :
City : ROSLYN
State : NY
Zip : 11576-2830
Country : US
Telephone Number : 516-830-0918
Fax Number :
Provider Business Practice Location Address
First Line : 2420 PARSONS BLVD
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-3444
Country : US
Telephone Number : 718-352-2100
Fax Number : 718-352-3654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2020
Last Update Date : 08/08/2020

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