MEDICARE: LUIS FILGUEIRA

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	027859	NY

General Provider Information

NPI Number	:	1750077913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS FILGUEIRA

Provider Business Mailing Address
First Line	:	3709 COLLEGE POINT BLVD APT 10D
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-3360
Country	:	US
Telephone Number	:	917-617-9747
Fax Number	:

Provider Business Practice Location Address
First Line	:	3709 COLLEGE POINT BLVD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-3296
Country	:	US
Telephone Number	:	917-617-9747
Fax Number	:

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

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	02/17/2024

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Directions to “ LUIS FILGUEIRA ” Practice Location

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