MEDICARE: NY HAND REHABILITATION OT PC

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	332BC3200X	Customized Equipment (DME)	0634520001	NY
2	332B00000X	Durable Medical Equipment & Medical Supplies	0634520001	NY

General Provider Information

NPI Number	:	1659585719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NY HAND REHABILITATION OT PC

Provider Business Mailing Address
First Line	:	219 E 69TH ST
Second Line	:	SUITE 1K
City	:	NEW YORK
State	:	NY
Zip	:	10021-5452
Country	:	US
Telephone Number	:	212-472-1000
Fax Number	:	212-472-1066

Provider Business Practice Location Address
First Line	:	219 E 69TH ST
Second Line	:	SUITE 1K
City	:	NEW YORK
State	:	NY
Zip	:	10021-5452
Country	:	US
Telephone Number	:	212-472-1000
Fax Number	:	212-472-1066

Authorized Official
Title or Position	:	MEDICAL BILLING
Name	:	MS. IVONNE M GARCIA
Credential	:
Telephone Number	:	212-472-1000

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/17/2013

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Directions to “NY HAND REHABILITATION OT PC ” Practice Location

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