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NPI Code Detail

MEDICARE: MRS. DANIELLA E FIREMAN OTRL

MEDICARE: MRS. DANIELLA E FIREMAN OTRL
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
1225X00000XOccupational Therapist021130NY

General Provider Information

NPI Number : 1750856928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLA E FIREMAN OTRL
Provider Business Mailing Address
First Line : 240 CENTRAL AVE APT 3K
Second Line :
City : LAWRENCE
State : NY
Zip : 11559-1561
Country : US
Telephone Number : 516-382-6545
Fax Number :
Provider Business Practice Location Address
First Line : 274 W BROADWAY
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3911
Country : US
Telephone Number : 516-897-0140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2018
Last Update Date : 07/14/2020

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