MEDICARE: MS. JOANNE SPECTOR

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	7210003	NY

General Provider Information

NPI Number	:	1780987081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOANNE SPECTOR

Provider Business Mailing Address
First Line	:	163 WINDSOR PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5917
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	163 WINDSOR PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5917
Country	:	US
Telephone Number	:	718-522-2122
Fax Number	:

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

Provider Enumeration Date	:	12/09/2010
Last Update Date	:	10/06/2014

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Directions to “ MS. JOANNE SPECTOR ” Practice Location

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