Individual
HENDRYX HUMPHREY OBMANA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Mailing address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008843
NY
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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