Individual
BERNALYN JUDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
2307 33RD RD, ASTORIA, NY 11106-4243
(347) 272-0295
Mailing address
2307 33RD RD, ASTORIA, NY 11106-4243
(347) 272-0295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019208
NY
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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