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Individual

ELLEN MUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11436 202ND ST, SAINT ALBANS, NY 11412-2813
(718) 776-4500
Mailing address
11436 202ND ST, SAINT ALBANS, NY 11412-2813
(718) 776-4500

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014777
NY

Other

Enumeration date
03/26/2012
Last updated
03/26/2012
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