Individual
EMELY TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 COURTLANDT AVE, BRONX, NY 10451-5032
(347) 210-2963
Mailing address
60 STONE AVE, ELMWOOD PARK, NJ 07407-1154
(551) 795-2164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027399-01
NY
225X00000X
Occupational Therapist
46TR01090700
NJ
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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