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1114214483
ALICIA LOGAN
NEW HYDE PARK, NY
NPI
1114214483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 016700-1)
Enumeration Date
2011-07-06
Last Update Date
2012-11-23
Business Address
-- ALICIA LOGAN
1983 MARCUS AVE
NEW HYDE PARK, NY 11042-2000
Phone number: 516-326-5600
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Mailing Address
-- ALICIA LOGAN
2700 REMSEN ST
BALDWIN, NY 11510-3829
Phone number:
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