Individual
MELANIE BAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
377 MAIN ST, CENTER MORICHES, NY 11934-3524
(631) 874-0571
(631) 878-0527
Mailing address
PO BOX 1312, CENTER MORICHES, NY 11934-7312
(631) 874-0571
(631) 878-0527
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008399
NY
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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