Individual
VICTORIA AMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 QUEENS BLVD, FOREST HILLS, NY 11375-4748
(212) 804-7659
Mailing address
10818 QUEENS BLVD, FOREST HILLS, NY 11375-4748
(212) 804-7659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003929
NY
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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