Individual
BILLIE BLAKE RISBOSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 7TH ST, APARTMENT B5, BROOKLYN, NY 11215-3346
(607) 207-6205
Mailing address
350 7TH ST, APARTMENT B5, BROOKLYN, NY 11215-3346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020019
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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