Individual
MRS. ELIZABETH KATHLEEN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
121 BROADHOLLOW RD, MELVILLE, NY 11747-4906
(631) 425-7100
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023832
NY
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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