Individual
ARUN DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
19 BIRCH ST, GREAT NECK, NY 11023-2321
(516) 859-2786
Mailing address
19 BIRCH ST, GREAT NECK, NY 11023-2321
(516) 859-2786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017586
NY
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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