Individual
NICOLE SHOSHANA LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 E 28TH ST, BROOKLYN, NY 11210-3741
(718) 252-2539
Mailing address
1079 E 28TH ST, BROOKLYN, NY 11210-3741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007983-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
007983-1
NY
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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