Individual
CARYN WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3936 AMBOY RD, STATEN ISLAND, NY 10308-2406
(718) 317-6390
(718) 317-6391
Mailing address
1225 E 70TH ST, BROOKLYN, NY 11234-5727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014536-1
NY
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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