Individual
MS. SANDRA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., OTR/L
Contact information
Practice address
80 E END AVE, NEW YORK, NY 10028-8004
(212) 585-3500
Mailing address
4705 CENTER BLVD APT 2001, LONG ISLAND CITY, NY 11109-5693
(646) 256-7586
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015343-1
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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