Individual
TEDDY BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 FIELDMERE ST, ELMONT, NY 11003-2007
(407) 346-8577
Mailing address
PO BOX 365, WEST HEMPSTEAD, NY 11552-0365
(407) 346-8577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008294-1
NY
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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