Individual
LEEAT MEDALION-YALOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15645 84TH ST, HOWARD BEACH, NY 11414-2617
(718) 738-1800
(718) 848-8683
Mailing address
2820 214TH PL, BAYSIDE, NY 11360-2626
(917) 498-3034
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015556
NY
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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