Individual
DAVITA ANGELINA NEMORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
165 SUSSEX RD, ELMONT, NY 11003-2034
(516) 439-0304
Mailing address
165 SUSSEX RD, ELMONT, NY 11003-2034
(516) 439-0304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024104
NY
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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