Organization
ELITE CARE OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG E DRON OTR/L (PRESIDENT / MEMBER)
(917) 379-7510
Entity
Organization
Contact information
Practice address
87 LYMAN AVE, STATEN ISLAND, NY 10305-3814
(917) 379-7510
Mailing address
87 LYMAN AVE, STATEN ISLAND, NY 10305-3814
(917) 379-7510
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
014046
NY
Other
Enumeration date
05/26/2012
Last updated
05/26/2012
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