Individual
BENITA BASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N HARRISON AVE, CONGERS, NY 10920-1900
(845) 267-1330
Mailing address
111 N HARRISON AVE, CONGERS, NY 10920-1900
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
022957-1
NY
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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