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Individual

SUSAN A MCGIVNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4 MARTIN AVE, SHOREHAM, NY 11786-2367
(631) 744-7082
Mailing address
4 MARTIN AVE, SHOREHAM, NY 11786-2367
(631) 289-2200

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009882
NY

Other

Enumeration date
04/28/2009
Last updated
01/14/2015
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