Individual
MS. AMY L COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
48 EASTOVER DR, EAST NORTHPORT, NY 11731-4331
(631) 266-4355
Mailing address
48 EASTOVER DR, EAST NORTHPORT, NY 11731-4331
(631) 266-4355
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012590
NY
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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