Individual
DOMINIQUE CARCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
207 WILDWOOD RIDGE, FRANKFORT, NY 13340
(315) 723-1667
Mailing address
207 WILDWOOD RIDGE, FRANKFORT, NY 13340
(315) 723-1667
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0191451
NY
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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