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Individual

ERIN MACKENZIE DURDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
567 KINGSTON AVE, BROOKLYN, NY 11203-1707
(718) 498-2500
Mailing address
567 KINGSTON AVE, BROOKLYN, NY 11203-1707

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009959
NY
224Z00000X
Occupational Therapy Assistant
Primary
1104
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009959
NEW YORK STATE OFFICE OF PROFESSIONS
NY
Enumeration date
12/07/2018
Last updated
07/26/2024
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