Individual
SHIRA KIRSHBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 596-4818
Mailing address
29 EDISON CT APT P, MONSEY, NY 10952-1964
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010579
NY
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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