Individual
ANDRE WOROSCHINSKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
350 GRAND ST, NEWBURGH, NY 12550-3612
(917) 715-1342
Mailing address
350 GRAND ST, NEWBURGH, NY 12550-3612
(917) 715-1342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
007368-1
NY
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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