Individual
CATHYANN GREENIDGE-ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1377 DOVER ST, ELMONT, NY 11003-2516
(347) 489-1318
Mailing address
1377 DOVER ST, ELMONT, NY 11003-2516
(347) 489-1318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
012539
NY
225X00000X
Occupational Therapist
Primary
117637
TX
Other
Enumeration date
05/16/2007
Last updated
12/11/2018
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