Organization
PAIGE KATHERINE TYSON MS OTR/L, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAIGE KATHERINE TYSON MS OTR/L (PRESIDENT)
(718) 680-5610
Entity
Organization
Contact information
Practice address
9977 SHORE RD, APT 11D, BROOKLYN, NY 11209-8253
(718) 680-5610
Mailing address
9977 SHORE RD, APT 11D, BROOKLYN, NY 11209-8253
(718) 680-5610
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010332
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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