Individual
MRS. MARISOL CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
80 MONROE AVE, STATEN ISLAND, NY 10301-2405
(718) 447-0124
Mailing address
44 TOWNSEND AVE, STATEN ISLAND, NY 10304-3714
(718) 720-4275
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
09199-1
NY
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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