Individual
MR. BILLY MARK CUBARRUBIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
232 E 80TH ST, APT. 23, NEW YORK, NY 10075-0548
(212) 300-6961
Mailing address
232 E 80TH ST, APT. 23, NEW YORK, NY 10075-0548
(212) 300-6961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015136-1
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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