Individual
ANDREA PASSANNANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, OTR/L, CDIS
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3400
Mailing address
31 GRASSMERE AVE, OAKDALE, NY 11769-1910
(631) 563-2366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006482
NY
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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