Individual
MISS NINA DEREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
306 COMMUNITY DR, APT # 1J, MANHASSET, NY 11030-3838
(516) 570-0152
Mailing address
306 COMMUNITY DR APT 1J, MANHASSET, NY 11030-3840
(516) 570-0152
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016152-1
NY
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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