Individual
MISS HALEY MARISSA BOGDANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 LIVINGSTON ST, BROOKLYN, NY 11201-5861
(718) 522-2122
Mailing address
34 BUNNING DR, VOORHEES, NJ 08043-4166
(609) 651-1899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027364
NY
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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