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Individual

BETH DIPERSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
345 NORTHERN BLVD, ALBANY, NY 12204-1001
(518) 641-0958
(518) 641-0958
Mailing address
20 PEACHTREE CT STE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008860
NY

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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