Individual
MRS. SHELLY S. MISIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15048 87TH RD, JAMAICA, NY 11432-3312
(917) 776-0177
(718) 298-6801
Mailing address
15048 87TH RD, JAMAICA, NY 11432-3312
(917) 776-0177
(718) 298-6801
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009676
NY
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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