Carla Bazan

NPI #1740886852 in Williston Park, New York

Provider Information

NPI Number: 1740886852
Entity Type: Individual
Name: Carla Bazan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 5, 2020
Last Updated: Dec 5, 2020

Practice Location

Address: 129A HILLSIDE AVE
City: Williston Park
State: New York
ZIP Code: 11596-2305
Phone: (516) 742-5243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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