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Individual

AVIVA M BOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
589 BARNARD AVE, WOODMERE, NY 11598-2709
(516) 524-2564
(516) 295-1646
Mailing address
589 BARNARD AVENUE, WOODMERE, NY 11598
(516) 524-2564
(516) 295-1646

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
007022-1
NY

Other

Enumeration date
02/18/2009
Last updated
02/18/2009
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