Individual
MICHELLE KISLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1979 MARCUS AVE, NEW HYDE PARK, NY 11042-1002
(914) 760-0347
Mailing address
PO BOX 300, SALISBURY MILLS, NY 12577-0300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005264-1
NY
Other
Enumeration date
05/05/2010
Last updated
05/18/2010
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