Individual
MRS. ANN MARIE REDASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
80 UNION AVE, LYNBROOK, NY 11563-3315
(516) 599-1432
Mailing address
80 UNION AVE, LYNBROOK, NY 11563-3315
(516) 599-1432
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
012761-1
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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