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Individual

ANTHONY NICHOLAS BABCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
1 LARKIN PLZ, YONKERS, NY 10701-7081
(845) 275-7890
Mailing address
526 EVERETT PL, MAYBROOK, NY 12543-1121

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009968-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009968-1
NYS LICENSE
NY
Enumeration date
01/02/2019
Last updated
01/02/2019
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