Individual
MRS. CAROL ANN TIERNEY TOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS COTA
Contact information
Practice address
119 DURYEA LN, NANUET, NY 10954-3128
(845) 623-8590
Mailing address
119 DURYEA LN, NANUET, NY 10954-3128
(845) 623-8590
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1545
NY
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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