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1053478586
CHARLES CERICOLA
BRONX, NY
NPI
1053478586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 010582)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- CHARLES CERICOLA OT
1400 PELHAM PKWY S
BRONX, NY 10461-1138
Phone number: 718-918-3060
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Mailing Address
-- CHARLES CERICOLA OT
3920 52ND ST
WOODSIDE, NY 11377-3250
Phone number:
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