Individual
ALEXIS TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1358 56TH ST, BROOKLYN, NY 11219-4616
(718) 851-7100
Mailing address
110 HEMPSTEAD AVE, LYNBROOK, NY 11563-1613
(718) 208-0075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006833-1
NY
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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