Individual
ALYSSA WEINBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 FIELDS AVE, STATEN ISLAND, NY 10314-5066
(718) 761-7084
Mailing address
119 FIELDS AVE, STATEN ISLAND, NY 10314-5066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016366-1
NY
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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