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NPI Code Detail

MEDICARE: MS. EIDELHEIDE BATANE COBCOBO COTA/L

MEDICARE:  MS. EIDELHEIDE BATANE COBCOBO  COTA/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
1224Z00000XOccupational Therapy Assistant46TA09158600NJ

General Provider Information

NPI Number : 1801350855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EIDELHEIDE BATANE COBCOBO COTA/L
Provider Business Mailing Address
First Line : 16 MICHIGAN AVE
Second Line :
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-2621
Country : US
Telephone Number : 201-637-1699
Fax Number :
Provider Business Practice Location Address
First Line : 16 MICHIGAN AVE
Second Line :
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-2621
Country : US
Telephone Number : 201-637-1699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2019
Last Update Date : 01/24/2019

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Directions to “ MS. EIDELHEIDE BATANE COBCOBO COTA/L” Practice Location

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