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Organization
SOUTHSIDE OCCUPATIONAL THERAPIST SERVICES PC
Active
Organization
SOUTHSIDE OCCUPATIONAL THERAPIST SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN E HAMER OTD (OCCUPATIONAL THERAPIST/OWNER)
(917) 573-3808
Entity
Organization
Contact information
Practice address
22811 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1847
(917) 573-3808
Mailing address
22811 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012047
NY
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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