Individual
DOLORES COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
80 WOODROW RD, STATEN ISLAND, NY 10312-1313
(718) 356-0008
(718) 356-6566
Mailing address
80 WOODROW RD, STATEN ISLAND, NY 10312-1313
(718) 356-0008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0053911
NY
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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