Individual
RUSHELL FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 KINGSTON AVE, BROOKLYN, NY 11203-1707
(718) 498-2500
Mailing address
567 KINGSTON AVE, BROOKLYN, NY 11203-1707
(718) 498-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006537
NY
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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