Individual
MRS. ALTHEA Z MAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1822
(516) 608-6339
Mailing address
35 WILMINGTON DR, MELVILLE, NY 11747-4032
(631) 491-1130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002149-1
NY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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