Mrs Breda Ann Maccurta, MS OTR/L | |
204 E 235th St, Bronx, NY 10470 | |
(914) 693-7677 | |
Not Available |
Full Name | Mrs Breda Ann Maccurta |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 204 E 235th St, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629221601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 013617 (New York) | Primary |
Provider Name | Wihd Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386714228 PECOS PAC ID: 7618917907 Enrollment ID: O20050505000813 |
Mailing Address | Practice Location Address |
---|---|
Mrs Breda Ann Maccurta, MS OTR/L 204 E 235th St, Bronx, NY 10470-2110 Ph: (914) 693-7677 | Mrs Breda Ann Maccurta, MS OTR/L 204 E 235th St, Bronx, NY 10470 Ph: (914) 693-7677 |
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