Individual
MRS. ELEANOR IACOVETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48A BURDA AVE, NEW CITY, NY 10956-1420
(845) 638-9103
Mailing address
48A BURDA AVE, NEW CITY, NY 10956-1420
(845) 638-9103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005021-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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