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NPI Code Detail

MEDICARE: EDA NUR ISIKTAN MS, OTR/L

MEDICARE: EDA NUR ISIKTAN MS, OTR/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
1225X00000XOccupational Therapist023670NY

General Provider Information

NPI Number : 1932759602
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDA NUR ISIKTAN MS, OTR/L
Provider Business Mailing Address
First Line : 87 WILLOWOOD DR
Second Line :
City : WANTAGH
State : NY
Zip : 11793-1248
Country : US
Telephone Number : 347-837-5274
Fax Number :
Provider Business Practice Location Address
First Line : 871 E 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2821
Country : US
Telephone Number : 917-991-2369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 10/09/2024

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