Individual
HAZEL DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S PORTLAND AVE, BROOKLYN, NY 11217-1532
(845) 345-2223
Mailing address
104 SOUTH PORTLAND, BROOKLYN, NY 11218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008279-1
MD
Other
Enumeration date
06/04/2009
Last updated
06/17/2014
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