Individual
MS. ELANA MINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 80TH ST, BROOKLYN, NY 11214-1607
(718) 232-2500
Mailing address
275 W 96TH ST APT 7M, NEW YORK, NY 10025-6214
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009702
NY
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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