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Organization
MATRIX OCCUPATIONAL THERAPY PC
Active
Organization
MATRIX OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADISLAV BEYLIK OTR/L (PRESIDENT)
(718) 510-4114
Entity
Organization
Contact information
Practice address
44 WESTWOOD RD S, MASSAPEQUA PARK, NY 11762-1933
(347) 492-4932
Mailing address
44 WESTWOOD RD S, MASSAPEQUA PARK, NY 11762-1933
(347) 492-4932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019568
NY
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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