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NPI Code Detail

MEDICARE: MS. RIVKA WILENKIN OTR/L

MEDICARE: MS. RIVKA WILENKIN OTR/L
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 Therapist0171551NY

General Provider Information

NPI Number : 1780955567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RIVKA WILENKIN OTR/L
Provider Business Mailing Address
First Line : 1642 63RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2713
Country : US
Telephone Number : 718-773-5669
Fax Number :
Provider Business Practice Location Address
First Line : 1642 63RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2713
Country : US
Telephone Number : 718-773-5669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2012
Last Update Date : 01/25/2012

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