MEDICARE: MS. KRIZIA G. CARPO

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	224Z00000X	Occupational Therapy Assistant	008035-1	NY

General Provider Information

NPI Number	:	1821583691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRIZIA G. CARPO

Provider Business Mailing Address
First Line	:	292 FULTON AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-1402
Country	:	US
Telephone Number	:	201-878-2932
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 W HOUSTON ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-4846
Country	:	US
Telephone Number	:	212-337-9400
Fax Number	:

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

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	06/25/2018

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