Individual
DANA FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
292 MADISON AVE, 2ND FL., NEW YORK, NY 10017-6307
(212) 751-9147
(212) 980-0073
Mailing address
320 E 90TH ST, #1C, NEW YORK, NY 10128-4217
(212) 828-1123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010257
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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