Individual
MRS. ILYSSA FAITH NATELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
19 RIDGEFIELD RD, NEW CITY, NY 10956-5425
(914) 329-7821
Mailing address
19 RIDGEFIELD RD, NEW CITY, NY 10956-5425
(914) 329-7821
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016647
NY
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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