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NPI Code Detail

MEDICARE: MRS. SARA J BURMAN-NEWBY OT CHT

MEDICARE: MRS. SARA J BURMAN-NEWBY OT CHT
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
12251H1200XHand Physical Therapist46TR00172800NJ
2225X00000XOccupational Therapist10941687-4201UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004771-1OTHERNYNY LICENSE #

General Provider Information

NPI Number : 1912980905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA J BURMAN-NEWBY OT CHT
Provider Business Mailing Address
First Line : 507 AIRPORT EXECUTIVE PARK
Second Line :
City : NANUET
State : NY
Zip : 10954-5238
Country : US
Telephone Number : 845-262-5313
Fax Number : 845-426-6126
Provider Business Practice Location Address
First Line : 327 ROUTE 59
Second Line :
City : AIRMONT
State : NY
Zip : 10952-3420
Country : US
Telephone Number : 845-356-2900
Fax Number : 845-356-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 12/03/2021

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