Individual
ERIKA BLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 ROUTE 112 STE F, PATCHOGUE, NY 11772-1230
(631) 207-2370
Mailing address
77 ROUTE 112 STE F, PATCHOGUE, NY 11772-1230
(631) 207-2370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008936-1
NY
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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