MEDICARE: BEST HEALTH FOR LIFE

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	225X00000X	Occupational Therapist	017184-1	NY

General Provider Information

NPI Number	:	1972925808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST HEALTH FOR LIFE

Provider Business Mailing Address
First Line	:	4909 EDGEWORTH DR
Second Line	:
City	:	MANLIUS
State	:	NY
Zip	:	13104-2126
Country	:	US
Telephone Number	:	315-796-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 PEWTER LN # 89
Second Line	:
City	:	MANLIUS
State	:	NY
Zip	:	13104-9707
Country	:	US
Telephone Number	:	315-796-1211
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST/OWNER
Name	:	MRS. ANDREA O'BRIEN
Credential	:	MS, OTR/L
Telephone Number	:	315-796-1211

Provider Enumeration Date	:	01/12/2014
Last Update Date	:	01/12/2014

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Directions to “BEST HEALTH FOR LIFE ” Practice Location

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