Individual
MS. EVA ANNE MATUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
96 PACIFIC BLVD, LONG BEACH, NY 11561-4700
(516) 705-4362
Mailing address
96 PACIFIC BLVD, LONG BEACH, NY 11561-4700
(516) 705-4362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012943
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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