Organization
IVONNE NIKIRK OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVONNE NIKIRK OTR (PRESIDENT)
(631) 724-3231
Entity
Organization
Contact information
Practice address
164 HICKORY LN, SMITHTOWN, NY 11787-4429
(631) 724-3231
(631) 724-3231
Mailing address
164 HICKORY LN, SMITHTOWN, NY 11787-4429
(631) 724-3231
(631) 724-3231
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000756-1
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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