Individual
MR. ALEX KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
350 LAKE AVE, STATEN ISLAND, NY 10303-2610
(646) 327-9811
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
020241
NY
Other
Enumeration date
03/10/2019
Last updated
03/10/2019
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