Individual
DEMITRIA MADONNA YPSILANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1018 74TH ST, BROOKLYN, NY 11228-1920
(718) 306-2951
Mailing address
1018 74TH ST, BROOKLYN, NY 11228-1920
(718) 306-2951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028820
NY
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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