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Individual

MR. DAVID JACOB MANFRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., OTR/L

Contact information

Practice address
514 E 82ND ST, APARTMENT 3E, NEW YORK, NY 10028-7113
(516) 978-4936
Mailing address
514 E 82ND ST, APARTMENT 3E, NEW YORK, NY 10028-7113
(516) 978-4936

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
011910
NY
225XP0200X
Pediatric Occupational Therapist
Primary
011910
NY

Other

Enumeration date
11/16/2008
Last updated
11/16/2008
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