Individual
ELYCE SHWOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
815 SUNRISE HWY, LYNBROOK, NY 11563-2922
(516) 660-3911
Mailing address
1412 VIAN AVE, HEWLETT, NY 11557-1423
(516) 569-2759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005250
NY
Other
Enumeration date
04/22/2009
Last updated
07/12/2010
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