Individual
MS. DASSY LIANA KOFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
142 W BEECH ST, LONG BEACH, NY 11561-3304
(347) 647-0855
Mailing address
86 WYKAGYL TER, NEW ROCHELLE, NY 10804-3206
(347) 647-0855
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015430
NY
Other
Enumeration date
06/29/2010
Last updated
12/01/2014
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