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Individual

MRS. NINA M HAASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 GRANDVIEW AVE, CORNWALL ON HUDSON, NY 12520-1214
(845) 568-7680
Mailing address
30 GRANDVIEW AVE, CORNWALL ON HUDSON, NY 12520-1214
(845) 568-7680

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
00434200
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
013171
NY

Other

Enumeration date
11/04/2010
Last updated
11/04/2010
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