Individual
BRACHA BAILA FASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 AVENUE M APT 4E, BROOKLYN, NY 11230-5226
(917) 626-5173
Mailing address
1215 AVENUE M APT 4E, BROOKLYN, NY 11230-5226
(917) 626-5173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63019307
NY
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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