Individual
MRS. BROOKE MIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015218
NY
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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