Organization
111-11 118TH STREET OZONE PARK N.Y.
Active
Organization
111-11 118TH STREET OZONE PARK N.Y.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAURA THERESA TRAINOR O.T./L (OCCUPATIONAL THERAPIST)
(718) 843-8390
Entity
Organization
Contact information
Practice address
11111 118TH ST, SOUTH OZONE PARK, NY 11420-1220
(718) 843-8390
(718) 641-2474
Mailing address
11111 118TH ST, SOUTH OZONE PARK, NY 11420-1220
(718) 843-8390
(718) 641-2474
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
004875-1
NY
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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