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Individual

MRS. ADELE MATTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5320 62ND ST, MASPETH, NY 11378-1208
(917) 837-9462
Mailing address
5320 62ND ST, MASPETH, NY 11378-1208

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0034881
NY

Other

Enumeration date
11/02/2009
Last updated
11/02/2009
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