Individual
BASIL DONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
36 MICHIGAN ST, LONG BEACH, NY 11561-1309
(516) 302-5794
Mailing address
36 MICHIGAN ST, LONG BEACH, NY 11561-1309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022327-1
NY
Other
Enumeration date
03/11/2018
Last updated
06/16/2018
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