Organization
HOMESTAY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON LEVIN OTR/L (PRESIDENT)
(646) 645-0582
Entity
Organization
Contact information
Practice address
103 SOMERSET ST, GARFIELD, NJ 07026-1827
(646) 645-0582
Mailing address
103 SOMERSET ST, GARFIELD, NJ 07026-1827
(646) 645-0582
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
46TR00724200
NJ
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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