Individual
MIRANDA ALFRED LAMORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HIGHGATE DRIVE, SLINGERLANDS, NY 12159
(518) 330-8599
Mailing address
301 HIGHGATE DRIVE, SLINGERLANDS, NY 12159
(518) 330-8599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
364172
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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