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NPI Code Detail

MEDICARE: RACHEL FAKHERI

MEDICARE:   RACHEL  FAKHERI
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
1225XP0200XPediatric Occupational Therapist029294NY

General Provider Information

NPI Number : 1982435343
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL FAKHERI
Provider Business Mailing Address
First Line : 3604 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5446
Country : US
Telephone Number : 347-768-1756
Fax Number :
Provider Business Practice Location Address
First Line : 3604 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5446
Country : US
Telephone Number : 347-768-1756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ RACHEL FAKHERI ” Practice Location

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