Individual
MR. SAMUEL C MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1628 QUAKER RD, BARKER, NY 14012-9616
(716) 795-3237
Mailing address
1628 QUAKER RD, BARKER, NY 14012-9616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0060441
NY
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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