MEDICARE: MRS. TAMARA BEN-SHIMON

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	024221	NY

General Provider Information

NPI Number	:	1710523584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMARA BEN-SHIMON

Provider Business Mailing Address
First Line	:	8219 SURREY PL
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1436
Country	:	US
Telephone Number	:	917-753-8915
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 MELROSE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-1121
Country	:	US
Telephone Number	:	917-753-8915
Fax Number	:

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

Provider Enumeration Date	:	11/26/2019
Last Update Date	:	05/04/2026

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