Individual
MS. MILDRENE CAIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2495 MAIN ST, SUITE 234, BUFFALO, NY 14214-2152
(716) 836-5929
(716) 836-6057
Mailing address
64 WILKES AVE, BUFFALO, NY 14215-3512
(716) 310-0564
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006636-1
NY
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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