Individual
BLAIRE S LIFSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N CENTRAL AVE STE 340A, HARTSDALE, NY 10530-1952
(914) 428-5151
Mailing address
65 PROSPECT AVE APT 12W, HEWLETT, NY 11557-1651
(561) 859-7502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009457
NY
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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