Individual
MR. TYRONNE CABRERA-NICKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 AUSTIN ST, #200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
163 EASTERN PKWY, APT. D3, BROOKLYN, NY 11238-6058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008875-1
NY
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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