Individual
PATTAMAPORN BUONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7432 44TH AVE, ELMHURST, NY 11373-2923
(718) 734-8745
Mailing address
7432 44TH AVE, ELMHURST, NY 11373-2923
(718) 734-8745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010876
NY
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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