Individual
MISS MARY AMATYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR.L
Contact information
Practice address
530 1ST AVE FL 9, NEW YORK, NY 10016-6402
(212) 263-6129
Mailing address
400 W 55TH ST APT 16D, NEW YORK, NY 10019-4574
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011245-1
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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