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Organization
BAYSIDE OCCUPATIONAL THERAPY PC
Active
Organization
BAYSIDE OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN W HUANG OT (PRESIDENT)
(917) 340-3029
Entity
Organization
Contact information
Practice address
32-45 204TH STREET, BAYSIDE, NY 11361-1136
(917) 340-3029
(917) 340-3029
Mailing address
32-45 204TH STREET, BAYSIDE, NY 11361
(917) 340-3029
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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