Individual
ALLISON MARIE AMBORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, C/NDT
Contact information
Practice address
145 COMMACK RD LOWR LEVEL, COMMACK, NY 11725-3438
(631) 499-5360
Mailing address
145 COMMACK RD LOWR LEVEL, COMMACK, NY 11725-3438
(631) 499-5360
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017627-1
NY
Other
Enumeration date
10/11/2012
Last updated
04/18/2016
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