Individual
TAWDROS GEZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(515) 565-0388
Mailing address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-0388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006952
NY
Other
Enumeration date
05/07/2009
Last updated
07/23/2012
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