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Organization

ISLAND REHAB PT OT PLLC

Active
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Organization

ISLAND REHAB PT OT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVONNE TARZIA MORANO (PRESIDENT)
(718) 354-0457
Entity
Organization

Contact information

Practice address
242 NATICK ST, STATEN ISLAND, NY 10306-1626
(718) 354-0457
Mailing address
242 NATICK ST, STATEN ISLAND, NY 10306-1626
(718) 354-0457

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
NY
225X00000X
Occupational Therapist
Primary
005711
NY
225X00000X
Occupational Therapist
NY

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
About Stedi
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