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Individual

ANDY HOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
485 MADISON AVE FL 8, NEW YORK, NY 10022-5803
(212) 980-2963
(646) 858-1858
Mailing address
485 MADISON AVE FL 8, NEW YORK, NY 10022-5803
(212) 980-2963
(646) 858-1858

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023814
NY

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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