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Individual

MRS. SUSAN LUBRANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
45 N. STATION PLAZA, SUITE 309, GREAT NECK, NY 11021
(516) 482-2650
(516) 466-8717
Mailing address
45 N. STATION PLAZA, SUITE 309, GREAT NECK, NY 11021
(516) 482-2650
(516) 466-8717

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
000810-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
00810
NY

Other

Enumeration date
02/01/2007
Last updated
08/01/2012
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