Individual
MR. JAMES W VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
460 W 34TH STREET, NEW YORK, NY 10001
(212) 213-6100
Mailing address
1418 BROOKLYN AVE, APT 2C, BROOKLYN, NY 11210
(347) 406-5536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003740
NY
Other
Enumeration date
07/27/2009
Last updated
07/31/2009
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