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NPI Code Detail

MEDICARE: CHAVA FOGEL

MEDICARE:   CHAVA  FOGEL
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
1225XP0200XPediatric Occupational Therapist63014983NY

General Provider Information

NPI Number : 1649546755
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAVA FOGEL
Provider Business Mailing Address
First Line : 1222 E 35TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3109 NEWKIRK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-7915
Country : US
Telephone Number : 347-881-6149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2012
Last Update Date : 03/23/2012

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Directions to “ CHAVA FOGEL ” Practice Location

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