Individual
JUSTIN ANDREW LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
60 MADISON AVE FL 8, NEW YORK, NY 10010-1676
(212) 684-0099
(212) 679-7868
Mailing address
3689 LYNN LN, WANTAGH, NY 11793-1424
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015832
NY
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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