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NPI Code Detail

MEDICARE: MS. MARIA CHU-DELOSREYES OTR/L

MEDICARE: MS. MARIA CHU-DELOSREYES 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 Therapist0126101NY

General Provider Information

NPI Number : 1801040068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA CHU-DELOSREYES OTR/L
Provider Business Mailing Address
First Line : 3406 10TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-5108
Country : US
Telephone Number : 347-712-9831
Fax Number :
Provider Business Practice Location Address
First Line : 6325 DRY HARBOR RD
Second Line : FOREST HILLS WEST SCHOOL
City : MIDDLE VILLAGE
State : NY
Zip : 11379-1964
Country : US
Telephone Number : 718-639-9750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2008
Last Update Date : 11/13/2008

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