Individual
KAREN MASSIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5605 MYRTLE AVE FL 3, RIDGEWOOD, NY 11385
(347) 447-3268
Mailing address
5605 MYRTLE AVE FL 3, RIDGEWOOD, NY 11385-4735
(347) 447-3268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009090-1
NY
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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