Organization
CHILD SWING OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PEREZ (OTR)
(917) 494-8499
Entity
Organization
Contact information
Practice address
25 BELMONT PL, STATEN ISLAND, NY 10301-1709
(917) 494-8499
Mailing address
25 BELMONT PL, STATEN ISLAND, NY 10301-1709
(917) 494-8499
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007965
NY
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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