Individual
ANTONIO JERACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7573
Mailing address
532 VALLEY AVE, YONKERS, NY 10703-1910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009165-1
NY
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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