Organization
ST MARYS HEALTHCARE SYSTEM FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SUMMERS KAMBOURIAN OTR/L (OCCUPATIONAL THERAPIST)
(303) 681-1136
Entity
Organization
Contact information
Practice address
1638 JASMINE AVE, NEW HYDE PARK, NY 11040-4339
(303) 681-1136
Mailing address
1638 JASMINE AVENUE, NEW HYDE PARK, NY 11040
(303) 681-1136
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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