Individual
MR. GARY WARD CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
243 JACKSON AVE, SAINT JAMES, NY 11780-1831
(631) 584-7526
(631) 862-0123
Mailing address
243 JACKSON AVE, SAINT JAMES, NY 11780-1831
(631) 584-7526
(631) 862-0123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002944
NY
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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