Kelly Song

NPI #1780153932 in Little Neck, New York

Provider Information

NPI Number: 1780153932
Entity Type: Individual
Name: Kelly Song
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 16, 2018
Last Updated: Nov 16, 2018

Practice Location

Address: 4515 BROWVALE LN
City: Little Neck
State: New York
ZIP Code: 11362-1305
Phone: (516) 603-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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