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Organization

AL WAITE OT, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALRIE WAITE OT (MEDICAL DIRECTOR)
(718) 975-2757
Entity
Organization

Contact information

Practice address
2769 CONEY ISLAND AVE, 2ND FLOOR, BROOKLYN, NY 11235-5061
(718) 975-2757
(718) 975-2759
Mailing address
76 ORANGE AVE, SUITE 2, STATEN ISLAND, NY 10302-2038

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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