Individual
NOORULAIN IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MORRISTOWN RD STE 110, BERNARDSVILLE, NJ 07924-2626
(631) 359-5859
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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