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Individual

ANTHONY KAHRL BIGORNIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
444 WILLIS AVE, BRONX, NY 10455-4013
(646) 236-6898
(570) 729-7242
Mailing address
8015 231ST ST, QUEENS VILLAGE, NY 11427-2107
(646) 236-6898

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019768-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06841845
NY
Enumeration date
09/15/2015
Last updated
03/04/2022
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