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Individual

MAVIS VERONICA SOLOMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15910 71ST AVE APT 6B, FRESH MEADOWS, NY 11365-3070
(917) 250-5557
(718) 591-1540
Mailing address
15910 71ST AVE APT 6B, FRESH MEADOWS, NY 11365-3070
(917) 250-5557
(718) 591-1540

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006411-1
NY

Other

Enumeration date
11/19/2017
Last updated
11/19/2017
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