Individual
DEBRA BERENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Mailing address
47 HUMPHREY DRIVE, SYOSSET, NY 11791
(516) 921-7171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005973-1
NY
Other
Enumeration date
06/17/2009
Last updated
07/29/2010
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