Individual
MRS. ROSEMARY CIPOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
201 SUNRISE HWY, PATCHOGUE, NY 11772-1868
(631) 289-2200
Mailing address
5 MONTCLAIR ST, PORT JEFFERSON STATION, NY 11776-3316
(631) 828-1069
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63 007672
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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