Individual
FERDELYN GRACE ACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 7TH ST, EAST MEADOW, NY 11554-1910
(201) 647-4086
Mailing address
2312 7TH ST, EAST MEADOW, NY 11554-1910
(201) 647-4086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009691-1
NY
314000000X
Skilled Nursing Facility
00960-1
NY
Other
Enumeration date
01/25/2021
Last updated
04/08/2021
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