Individual
YERMIN CORTORREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 DUFFY AVE, HICKSVILLE, NY 11801-3636
(631) 600-3029
Mailing address
2435 TRATMAN AVE., 2ND FL., BRONX, NY 10461
(646) 537-5051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009138
NY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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