Individual
MRS. SUSAN M. MILETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
86 HAVEN AVE, RONKONKOMA, NY 11779-5922
(631) 580-9797
Mailing address
86 HAVEN AVE, RONKONKOMA, NY 11779-5922
(631) 580-9797
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006481-1
NY
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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