MEDICARE: MILDRED REMY

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	03117001	NY

General Provider Information

NPI Number	:	1649102559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILDRED REMY

Provider Business Mailing Address
First Line	:	11520 149TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11436-1122
Country	:	US
Telephone Number	:	347-440-8233
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 DIVISION AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-7105
Country	:	US
Telephone Number	:	718-253-8000
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ MILDRED REMY ” Practice Location

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