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Individual

DEBORAH DISUNNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
3330 NOYAC RD, BURKSHIRE COURT BUILDING C, SAG HARBOR, NY 11963-1930
(631) 899-3635
Mailing address
PO BOX 123, AMAGANSETT, NY 11930-0123
(631) 747-7024

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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