Individual
MAUREEN CHARALAMBOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
124 CARMAN RD, DIX HILLS, NY 11746-5647
(631) 424-0500
Mailing address
124 CARMAN RD, DIX HILLS, NY 11746-5647
(631) 424-0500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007854-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
007854-1
NY
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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