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MS. ELISA ERCOLINO

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1598305872

Individual Registrant:
MS. ELISA  ERCOLINO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
511 HOMESTEAD,NEW YORK,11552  WEST HOMESTEAD, NY 11552 US
Tel: 516-565-0388  Fax: 516-565-2782

Contact information for business:
511 HOMESTEAD,NEW YORK,11552  WEST HOMESTEAD, NY 11552 US
Tel: 516-565-0388  Fax: 516-565-2782

Registration Information:
NPI: 1598305872
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
NY430634

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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