Individual
MARY BALDASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
59 PLEASANTVIEW DR, CENTRAL ISLIP, NY 11722-4691
(516) 380-5718
Mailing address
59 PLEASANTVIEW DR, CENTRAL ISLIP, NY 11722-4691
(516) 380-5718
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003085-1
NY
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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