Individual
MRS. BERNADINE PESTIO NOGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15 W 65TH ST, NEW YORK, NY 10023-6601
(212) 769-6310
Mailing address
111 S 3RD ST, NEW HYDE PARK, NY 11040-4836
(516) 216-1617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011536
NY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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