Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE FAULK COTA (CERTIFIED OCCUPATIONAL THERAPY ASSI)
(718) 283-6418
Entity
Organization
Contact information
Practice address
1725 STERLING PL APT 3B, BROOKLYN, NY 11233-4520
(718) 774-5704
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6418
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
004992
NY
Other
Enumeration date
08/08/2007
Last updated
08/09/2007
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