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Organization
PROACTIVE OCCUPATIONAL THERAPY PC
Active
Organization
PROACTIVE OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL CYWIAK OTR/L (PRESIDENT)
(917) 544-3060
Entity
Organization
Contact information
Practice address
6202 20TH AVE, BROOKLYN, NY 11204-3023
(917) 544-3060
(718) 259-7225
Mailing address
6202 20TH AVE, BROOKLYN, NY 11204-3023
(917) 544-3060
(718) 259-7225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016202
NY
Other
Enumeration date
11/16/2014
Last updated
01/15/2015
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