Individual
MS. ALIDA COOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1979 MARCUS AVENUE, SUITE 204, LAKE SUCCESS, NY 11042
(516) 327-4681
Mailing address
1979 MARCUS AVE, SUITE 204, NEW HYDE PARK, NY 11042-1002
(516) 327-4681
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005052-1
NY
Other
Enumeration date
02/26/2007
Last updated
02/02/2011
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