Rashel Spivak, | |
441 Harold Ave, Staten Island, NY 10312-6025 | |
(347) 403-4897 | |
Not Available |
Full Name | Rashel Spivak |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 441 Harold Ave, Staten Island, 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 |
---|---|---|---|
1003233776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 018496-01 (New York) | Primary |
Provider Name | Affinity Rehabilitation Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346530169 PECOS PAC ID: 4789843376 Enrollment ID: O20120319000314 |
Mailing Address | Practice Location Address |
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Rashel Spivak, 441 Harold Ave, Staten Island, NY 10312-6025 Ph: (347) 403-4897 | Rashel Spivak, 441 Harold Ave, Staten Island, NY 10312-6025 Ph: (347) 403-4897 |
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