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Individual

MS. BIBI Y ALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
20507 HILLSIDE AVE, SUITE 20-23, HOLLIS, NY 11423-2220
(718) 264-1789
(718) 264-2179
Mailing address
9350 204TH ST, HOLLIS, NY 11423-3026
(718) 776-7199

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005809
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005809
NY
Enumeration date
05/18/2007
Last updated
07/09/2007
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