Individual
MARY JOYCE TAGATAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13966 35TH AVE, FLUSHING, NY 11354-3524
(718) 961-5300
Mailing address
8950 56TH AVE APT 6P, ELMHURST, NY 11373-4906
(917) 214-9980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009842
NY
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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