Individual
ALICIA HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 CENTRAL PKWY, HUNTINGTON, NY 11743-4309
(516) 967-0525
Mailing address
68 CENTRAL PKWY, HUNTINGTON, NY 11743-4309
(516) 967-0525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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