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Organization
MADISON OCCUPATIONAL THERAPY NYC PLLC
Active
Organization
MADISON OCCUPATIONAL THERAPY NYC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SALLY ATLAN OT (OWNER)
(646) 379-7014
Entity
Organization
Contact information
Practice address
8829 FORT HAMILTON PKWY APT D01, BROOKLYN, NY 11209-6013
(646) 379-7014
(212) 601-2671
Mailing address
1539 E 13TH ST, BROOKLYN, NY 11230-7105
(646) 379-7014
(212) 601-2671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
N/A
NY
Enumeration date
12/07/2022
Last updated
12/07/2022
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