Individual
MISS ELIZABETH LYNNE HAISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
496 MILLER PLACE RD, MILLER PLACE, NY 11764-3228
(516) 983-9891
Mailing address
496 MILLER PLACE RD, MILLER PLACE, NY 11764-3228
(516) 983-9891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010008-1
NY
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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