Individual
DANA MEDOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
254 S MAIN ST, NEW CITY, NY 10956-3340
(845) 638-1592
Mailing address
39 ROCKFORD DR, WEST NYACK, NY 10994-1126
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
021216
NY
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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