Individual
EMIL JABOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 MILLSPAUGH LN, BARDONIA, NY 10954-1536
(516) 455-2290
Mailing address
56 MILLSPAUGH LN, BARDONIA, NY 10954-1536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10627-01
NY
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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