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Individual

ELIZABETH R KOULERMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
201 SUNRISE HWY W, PATCHOGUE, NY 11772-1868
(631) 289-2200
Mailing address
510 10TH AVE, EAST NORTHPORT, NY 11731-1722
(631) 873-6110

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024135
NY
225XP0200X
Pediatric Occupational Therapist
024135
NY

Other

Enumeration date
10/14/2019
Last updated
08/11/2025
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