Individual
NANCY MASTROMONICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 LAWRENCE RD, KINGS PARK, NY 11754-2832
(631) 252-7797
Mailing address
108 LAWRENCE RD, KINGS PARK, NY 11754-2832
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007679
NY
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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