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NPI Code Detail

MEDICARE: JUAN A ALVAREZ COTA

MEDICARE: JUAN A ALVAREZ COTA
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 Assistant003316

General Provider Information

NPI Number : 1871735282
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN A ALVAREZ COTA
Provider Business Mailing Address
First Line : 10406 97TH AVE
Second Line :
City : OZONE PARK
State : NY
Zip : 11416-1801
Country : US
Telephone Number : 646-244-1321
Fax Number :
Provider Business Practice Location Address
First Line : 649 39TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-3101
Country : US
Telephone Number : 718-972-0880
Fax Number : 718-972-0696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2009
Last Update Date : 03/31/2009

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Directions to “ JUAN A ALVAREZ COTA” Practice Location

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