Individual
ALEXIS MARIAH PANARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 331-2204
Mailing address
7 PLANT CT, MASSAPEQUA, NY 11758-3018
(516) 639-6232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024131
NY
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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