Individual
FAIGE BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CODA
Contact information
Practice address
21 WASHINGTON AVE, SPRING VALLEY, NY 10977-2061
(845) 244-8300
Mailing address
53 W GATE RD, SUFFERN, NY 10901-3126
(845) 659-0390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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