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Organization

BUILDING BRIDGES THROUGH OT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY GRACE RUZGAL-NACLERIO (PRESIDENT)
(917) 667-6158
Entity
Organization

Contact information

Practice address
110 N GREENBUSH RD, WEST NYACK, NY 10994-1606
(917) 667-6158
Mailing address
110 N GREENBUSH RD, WEST NYACK, NY 10994-1606
(917) 667-6158

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011624
NY

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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