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Individual

BRIAN J. FINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008282
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008282
NY STATE LICENSE
NY
Enumeration date
05/14/2007
Last updated
07/08/2007
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