Individual
AILENE URSUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 CHAMBERS ST # 51, 6TH FL, NEW YORK, NY 10007-1209
(212) 221-1544
Mailing address
2024 COLONIAL AVE, BRONX, NY 10461-3909
(646) 714-7310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015439
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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