Individual
MRS. KAREN B MIZRACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
22 VINCENT AVE, STAMFORD, CT 06905-4022
(203) 536-0279
Mailing address
22 VINCENT AVE, STAMFORD, CT 06905-4022
(203) 536-0279
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
012569
NY
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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