Individual
ROSA MARIA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6135 DRY HARBOR RD, MIDDLE VILLAGE, NY 11379-1599
(718) 565-4262
Mailing address
1810 STOCKHOLM ST APT 2L, RIDGEWOOD, NY 11385-1322
(347) 255-6637
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005453
NY
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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