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Individual

MRS. RUTH ZACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA OTRL

Contact information

Practice address
299 EAST SHORE ROAD, SUITE 201, GREAT NECK, NY 11023
(516) 829-4525
(516) 498-2477
Mailing address
299 EAST SHORE ROAD, SUITE 201, GREAT NECK, NY 11023
(516) 829-4525
(516) 498-2477

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0055861
NY

Other

Enumeration date
08/09/2007
Last updated
08/09/2007
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