Individual
LARA ALBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
3767 RICHMOND AVE, STATEN ISLAND, NY 10312-3827
(718) 967-0359
Mailing address
14 GABRIELE COURT, GARAGE SIDE APT, STATEN ISLAND, NY 10312
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
020267
NY
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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