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Individual

ELTINE DESPINOSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7623 265TH ST, NEW HYDE PARK, NY 11040-1403
(917) 562-6007
Mailing address
7623 265TH ST, NEW HYDE PARK, NY 11040-1403
(917) 562-6007

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006080-1
NY

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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