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Individual

AGNES WINIFRED SCHULZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
214 WALL ST, HUNTINGTON, NY 11743-7804
(631) 662-6799
(631) 421-4540
Mailing address
41 WESTFIELD DR, CENTERPORT, NY 11721-1547
(631) 662-6799
(631) 421-4540

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002581-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4599867
AETNA
NY
01
463843P
HIP/EMBLEM
NY
01
Q74171
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
12/31/2006
Last updated
11/19/2009
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