Individual
MR. DANIEL F MATRECANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
322 LATHROP AVE., STATEN ISLAND, NY 10302-2532
(917) 428-0963
Mailing address
322 LATHROP AVE, STATEN ISLAND, NY 10302-2532
(917) 428-0963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006354-1
NY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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