Individual
DAWN BUCKOVINSKY IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6 RAYMOND AVE, MIDDLE ISLAND, NY 11953-1427
(631) 294-6316
(631) 775-0233
Mailing address
6 RAYMOND AVE, MIDDLE ISLAND, NY 11953-1427
(631) 294-6316
(631) 775-0233
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
63014871
NY
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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