Organization · Type 2 NPI

Funtastic Ot, P.c.

Specialist · Brooklyn, NY

NPI number 1316200702 Active

Practice location

2016 E 35th St
Brooklyn, NY 11234-4922

Call (917) 692-3529 Map

Fax (718) 491-2788

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X011124-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316200702

Funtastic Ot, P.c.'s National Provider Identifier is 1316200702, issued on Jun 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 20, 2012.