Individual
AZINETH BIRON CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3310 QUEENS BLVD, SUITE 301, LONG ISLAND CITY, NY 11101-2302
(718) 593-4121
Mailing address
8204 54TH AVE, 3RD FLOOR, ELMHURST, NY 11373-4712
(347) 553-4718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015528-1
NY
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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