MEDICARE: CINDY B EPSTEIN KLEIN OTR

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	002702-1	NY

General Provider Information

NPI Number	:	1720231491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY B EPSTEIN KLEIN OTR

Provider Business Mailing Address
First Line	:	6 ETHEL DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6328
Country	:	US
Telephone Number	:	845-721-4944
Fax Number	:	845-639-4365

Provider Business Practice Location Address
First Line	:	6 ETHEL DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6328
Country	:	US
Telephone Number	:	845-721-4944
Fax Number	:	845-639-4365

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	10/28/2008

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