Individual
MATTHEW WILENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
80 MULBERRY AVE, STATEN ISLAND, NY 10314-3712
(917) 939-9187
(718) 377-5002
Mailing address
80 MULBERRY AVE, STATEN ISLAND, NY 10314-3712
(917) 939-9187
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008979
NY
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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