Individual
CARISSA AURELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
873 RTE 45 STE 102, NEW CITY, NY 10956
(845) 354-7779
(845) 354-7780
Mailing address
873 ROUTE 45 STE 102, NEW CITY, NY 10956-1123
(845) 354-7779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0219211
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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