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Individual

MR. BRYAN S LUDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
159 INDIAN HEAD RD, COMMACK, NY 11725-2205
(631) 543-4500
Mailing address
35 SUNCREST DR, DIX HILLS, NY 11746-5736
(516) 680-5410

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01065
NY

Other

Enumeration date
11/07/2006
Last updated
06/09/2009
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