Individual
STEPHEN ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A
Contact information
Practice address
14509 249TH ST, ROSEDALE, NY 11422-2508
(646) 642-2922
Mailing address
14509 249TH ST, ROSEDALE, NY 11422-2508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003837
NY
Other
Enumeration date
03/28/2011
Last updated
05/16/2011
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