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Individual

HAILEY NICOLE BYNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10315 101ST ST, OZONE PARK, NY 11417-1707
(718) 843-3333
Mailing address
3 GARDINERS RD, SOUND BEACH, NY 11789-2427
(631) 664-5347

Taxonomy

Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
024920
NY

Other

Enumeration date
02/08/2022
Last updated
02/08/2022
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