Individual
DEVORAH STATFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-3700
Mailing address
1609 AVENUE N, BROOKLYN, NY 11230-6013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0181371
NY
Other
Enumeration date
11/18/2013
Last updated
01/16/2014
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