Individual
ELISSA CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 COLUMBUS AVE APT 15I, NEW YORK, NY 10025-6687
(347) 510-2664
Mailing address
730 COLUMBUS AVE APT 15I, NEW YORK, NY 10025-6687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027822
NY
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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