Individual
IVY MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 970-2188
Mailing address
875 MORRISON AVE APT 17F, BRONX, NY 10473-4420
(646) 408-1983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007588
NY
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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