Individual
JEAN MARC ELEAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
36 MONSEY BLVD APT B, MONSEY, NY 10952-3321
(845) 893-9907
Mailing address
36 MONSEY BLVD APT B, MONSEY, NY 10952-3321
(845) 893-9907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011151-01
NY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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