Individual
MARIA ELAINE NELSON-VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 KNOX DR, NEW WINDSOR, NY 12553-6113
(917) 957-5155
Mailing address
28 KNOX DR, NEW WINDSOR, NY 12553-6113
(917) 957-5155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006723-01
NY
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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