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Individual

ADAM ABDELFATAH ELBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1010 NORTHERN BLVD STE 424, GREAT NECK, NY 11021-5330
(516) 472-7002
(718) 228-6927
Mailing address
3006 29TH ST APT 2F, ASTORIA, NY 11102-2501
(516) 458-3702

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027371
NY

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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