Individual
ELIZABETH FALTISCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
549 BORDEN AVE APT 5G, LONG ISLAND CITY, NY 11101-5887
(347) 642-4829
Mailing address
549 BORDEN AVE APT 5G, LONG ISLAND CITY, NY 11101-5887
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012241-1
NY
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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