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NPI Code Detail

MEDICARE: MR. JAMES GREGORY GERACE

MEDICARE: MR. JAMES GREGORY GERACE
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 Therapist010946-1NY

General Provider Information

NPI Number : 1801963400
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES GREGORY GERACE
Provider Business Mailing Address
First Line : 555 OVINGTON AVE
Second Line : D46
City : BROOKLYN
State : NY
Zip : 11209-1759
Country : US
Telephone Number : 718-238-5313
Fax Number :
Provider Business Practice Location Address
First Line : 2214 STILLWELL AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4250
Country : US
Telephone Number : 718-947-3200
Fax Number : 718-947-3285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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