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NPI Code Detail

MEDICARE: MRS. JUNE OSBORNE COTA

MEDICARE: MRS. JUNE OSBORNE COTA
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 Assistant3851NY

General Provider Information

NPI Number : 1568828531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUNE OSBORNE COTA
Provider Business Mailing Address
First Line : 55 CAYUGA LN
Second Line :
City : WEST SAND LAKE
State : NY
Zip : 12196-2008
Country : US
Telephone Number : 518-937-9123
Fax Number :
Provider Business Practice Location Address
First Line : 10B MADISON AVENUE EXT
Second Line :
City : ALBANY
State : NY
Zip : 12203-7314
Country : US
Telephone Number : 518-867-3061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2016
Last Update Date : 11/30/2022

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