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Individual

MRS. VIVIAN MARJORIE SCLAFANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
3219 204TH ST, BAYSIDE, NY 11361-1031
(718) 440-5611
Mailing address
3219 204TH ST, BAYSIDE, NY 11361-1031
(718) 440-5611

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008011-1
NY

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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