Individual
ETHEL MARIE DELICANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3648 BROADWAY, NEW YORK, NY 10031, NEW YORK, NY 10031-1003
(929) 593-7462
Mailing address
3648 BROADWAY, NEW YORK, NY 10031, NEW YORK, NY 10031-2468
(929) 593-7462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024543
NY
Other
Enumeration date
11/17/2022
Last updated
03/20/2025
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