Individual
AERIN BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BUSINESS PARK DR STE 301, ARMONK, NY 10504-1751
(914) 730-0210
Mailing address
9 MEAD RD, ARMONK, NY 10504-2705
(914) 830-6317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029439
NY
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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