Individual
ELIAS TANNOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BACON RD, OLD WESTBURY, NY 11568-1304
(516) 776-4706
Mailing address
101 BACON RD, OLD WESTBURY, NY 11568-1304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3658004
NY
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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