Look up the most recent NPI and PECOS records

Tamara Dekhkanova

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

7252 Metropolitan Ave Ste 1, Middle Village, NY 11379-2103

PECOS Enrollment

Based on the most recent information from CMS, provider Tamara Dekhkanova does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1750843959
Provider Type
Individual
Full Name
Dekhkanova, Tamara
Title
Mrs.
Credential
OTR/L

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/5/2019
Last Updated
4/5/2019

Contact Information

Practice Location

7252 Metropolitan Ave Ste 1, Middle Village, NY 11379-2103

(718) 326-0055

Unlisted Fax

Mailing Location

11814 83rd Ave Apt 4l, Kew Gardens, NY 11415-1365

(917) 353-3023

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225XP0200X Primary	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 017290-1 New York
Code 225XG0600X	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 017290-1 New York
Code 225XP0019X	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 017290-1 New York

Tamara Dekhkanova

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Zeltmann, Kathleen Anne

Layliev, Eleanor

Lopera-Sarria, Isabel Cristina

D'Ambrosio, Rachel A

Tyroler, Einat

Van Aken, David Nicholas

Fernandez, Maria

Manning, Cynthia