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Individual

MATTHEW JOHN KRINISKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPH, OTR

Contact information

Practice address
28 OVERBROOK DR, MILLWOOD, NY 10546-1033
(914) 882-2124
Mailing address
28 OVERBROOK DR, MILLWOOD, NY 10546-1033
(914) 882-2124

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007604-1
NY

Other

Enumeration date
11/04/2008
Last updated
11/04/2008
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