Individual
MRS. ADRIANE VELASQUEZ ESCUDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., M.A., B.S.
Contact information
Practice address
80 DANBURY ST, BAY SHORE, NY 11706-5820
(631) 206-0402
Mailing address
80 DANBURY ST, BAY SHORE, NY 11706-5820
(631) 206-0402
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15093-1
NY
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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