Individual
EDGAR ANTHONY NERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2006 BENSON AVE APT 3C, BROOKLYN, NY 11214-4824
(929) 282-5949
Mailing address
2006 BENSON AVE APT 3C, BROOKLYN, NY 11214-4824
(929) 282-5949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026686
NYS DEPARTMENT OF EDUCATION, OFFICE OF PROFESSIONS
NY
Enumeration date
03/31/2022
Last updated
03/31/2022
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