Individual
GEORGIA MAUCERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
52 3RD AVE, BRENTWOOD, NY 11717-4651
(631) 434-2123
Mailing address
25 MADELEY LANE, STONY BROOK, NY 11790-2822
(631) 741-4502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029197
NY
Other
Enumeration date
06/04/2024
Last updated
06/05/2024
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