Individual
DESRINE DELCETA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 ONTARIO RD, WEST HEMPSTEAD, NY 11552-4215
(516) 764-1979
Mailing address
1050 ONTARIO RD, WEST HEMPSTEAD, NY 11552-4215
(516) 764-1979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015145
NY
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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