Individual
DENISE ANZALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 GAZZOLA DR, EAST PATCHOGUE, NY 11772-4900
(631) 447-8800
Mailing address
74 CORBIN AVE, EAST PATCHOGUE, NY 11772-4542
(631) 946-9125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4789-1
NY
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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