Individual
MRS. EILEEN MADONNA STAYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
8337 MERRILL PL, EDEN, NY 14057-1130
(716) 992-2409
Mailing address
8337 MERRILL PL, EDEN, NY 14057
(716) 992-2409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001269-1
NY
Other
Enumeration date
08/29/2011
Last updated
09/26/2011
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