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Individual

CHAYA C GOTTESMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
127 W 82ND ST, 1B, NEW YORK, NY 10024-5503
(212) 362-6243
(212) 362-6243
Mailing address
127 W 82ND ST, 1B, NEW YORK, NY 10024-5503
(212) 362-6243
(212) 362-6243

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009070-1
NY
225XP0200X
Pediatric Occupational Therapist
009070-1
NY

Other

Enumeration date
01/12/2009
Last updated
09/13/2010
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