Individual
BETH BLITZSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
1605 FOREST AVE, STATEN ISLAND, NY 10302-2229
(718) 816-1325
Mailing address
1605 FOREST AVE, STATEN ISLAND, NY 10302-2229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003390-1
NY
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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