MEDICARE: MS. DEBORAH RACHEL CINER

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	225XP0200X	Pediatric Occupational Therapist	014941	NY

General Provider Information

NPI Number	:	1992949929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH RACHEL CINER

Provider Business Mailing Address
First Line	:	56 BENNETT AVE APT 6C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-2136
Country	:	US
Telephone Number	:	917-767-0380
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 BENNETT AVE APT 6C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-2136
Country	:	US
Telephone Number	:	917-767-0380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	04/21/2009

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