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Organization
ITKIN OCCUPATIONAL THERAPY PC
Active
Organization
ITKIN OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA FAY ITKIN OTR/L (OTR/L)
(917) 696-2478
Entity
Organization
Contact information
Practice address
134 MACKENZIE STREET, BROOKLYN, NY 11235
(917) 696-2478
Mailing address
134 MACKENZIE STREET, BROOKLYN, NY 11235
(917) 696-2478
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019938-1
NY
314000000X
Skilled Nursing Facility
019938-1
NY
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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