JARED VICTOR VIRELLA

BROOKLYN, NY
NPI1003555004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  011108)
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
JARED VICTOR VIRELLA COTA/L
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
Mailing Address
JARED VICTOR VIRELLA COTA/L
511 W 232ND ST APT E43
BRONX, NY 10463-3561
Phone number: 646-221-8750