Individual
CHARLES CERICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
3920 52ND ST, WOODSIDE, NY 11377-3250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010582
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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