Individual
MR. MARK A. RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2428 MATTHEWS AVE, APT A4, BRONX, NY 10467-9220
(347) 901-3991
Mailing address
2428 MATTHEWS AVE, APT A4, BRONX, NY 10467-9220
(347) 901-3991
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007256-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007256-1
COTA
NY
Enumeration date
03/11/2009
Last updated
07/20/2015
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