Individual
MARY PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 SPERRY BLVD, NEW HYDE PARK, NY 11040-3842
(516) 633-5761
Mailing address
511 SPERRY BLVD, NEW HYDE PARK, NY 11040-3842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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