Individual
ROBERT JOHN IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
13525 COOLIDGE AVE, BRIARWOOD, NY 11435-1037
(917) 406-8748
Mailing address
13525 COOLIDGE AVE, BRIARWOOD, NY 11435-1037
(917) 406-8748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003798-1
NY
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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