111-11 118th Street Ozone Park N.y.
NPI #1194091397 in South Ozone Park, New York
Provider Information
- NPI Number
- 1194091397
- Entity Type
- Organization
- Organization Name
- 111-11 118th Street Ozone Park N.y.
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Apr 2, 2012
- Last Updated
- Apr 2, 2012
Practice Location
- Address
- 11111 118TH ST
- City
- South Ozone Park
- State
- New York
- ZIP Code
- 11420-1220
- Phone
- (718) 843-8390
Authorized Official
- Name
- MS. MAURA THERESA TRAINOR, O.T./L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (718) 843-8390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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