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MS. ELISA ERCOLINO
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1598305872
Individual Registrant:MS. ELISA ERCOLINO
Gender: F
Not Sole Proprietor
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
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
Tel: 516-565-0388 Fax: 516-565-2782
Registration Information:
NPI: 1598305872
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | NY | 430634 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
