Individual
MRS. LILLIAN RYBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2565 ELMWWOD AVE., KENMORE, NY 14217
(716) 881-8991
Mailing address
7270 HEINRICH RD., HAMBURG, NY 14075
(716) 359-1920
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
006216-1
NY
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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