Individual
DIANA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 MONTICELLO AVE, BRONX, NY 10466-2303
(718) 324-2854
Mailing address
4011 MONTICELLO AVE, BRONX, NY 10466-2303
(718) 324-2854
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0065891-1
NY
Other
Enumeration date
09/02/2010
Last updated
03/27/2012
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