Individual
NANCY PILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3036 E TREMONT AVE, BRONX, NY 10461-5733
(718) 823-3190
Mailing address
1522 STADIUM AVE, BRONX, NY 10465-1116
(917) 468-9869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007770
NY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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