Individual
NELLY T BEREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 FAYE AVE, NEW WINDSOR, NY 12553-7709
(845) 568-5734
Mailing address
11 FAYE AVE, NEW WINDSOR, NY 12553-7709
(845) 568-5734
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
003757
NY
224Z00000X
Occupational Therapy Assistant
Primary
003757
NY
Other
Enumeration date
02/27/2007
Last updated
09/11/2025
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