Individual
LYNETTE CEBALLOS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 FARMEDGE RD, LEVITTOWN, NY 11756-4344
(516) 579-2116
(516) 934-0371
Mailing address
156 FARMEDGE RD, LEVITTOWN, NY 11756-4344
(516) 579-2116
(516) 934-0371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0017251
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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