Individual
PRISCILLA MARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1887 BATHGATE AVE, BRONX, NY 10457-6283
(718) 466-3580
Mailing address
281 W 132ND ST APT 3, NEW YORK, NY 10027-7803
(571) 205-2316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
027465
NY
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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