Organization
DRAGON OCCUPATIONAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL RAFOL RABINO JR. OTR/L (PRESIDENT)
(917) 755-1953
Entity
Organization
Contact information
Practice address
8115 QUEENS BLVD APT 7A, ELMHURST, NY 11373-3778
(917) 755-1953
Mailing address
8115 QUEENS BLVD APT 7A, ELMHURST, NY 11373-3778
(917) 755-1953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014632-1
NY
Other
Enumeration date
01/09/2013
Last updated
01/10/2013
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