Individual
MR. DANIEL MAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
14413 70TH AVE, FLUSHING, NY 11367-1713
(718) 646-4441
Mailing address
14413 70TH AVE, FLUSHING, NY 11367-1713
(718) 646-4441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09008-1
NY
Other
Enumeration date
05/09/2008
Last updated
09/13/2010
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