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NPI Code Detail

MEDICARE: MS. MEGAN O'MEALIA ATR-BC, LCAT

MEDICARE: MS. MEGAN O'MEALIA ATR-BC, LCAT
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
1221700000XArt Therapist001422NY

General Provider Information

NPI Number : 1699916510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN O'MEALIA ATR-BC, LCAT
Provider Business Mailing Address
First Line : 760 BROADWAY
Second Line : ROOM 5B05A
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-8371
Fax Number :
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line : ROOM 5B05A
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-8371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2009
Last Update Date : 03/21/2022

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