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1114296597
IFEANYI MATTHEW
YONKERS, NY
NPI
1114296597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 007024)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- IFEANYI MATTHEW OTA
1156 N BROADWAY
YONKERS, NY 10701-1108
Phone number: 914-965-3700
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Mailing Address
-- IFEANYI MATTHEW OTA
2838 BRUNER AVE
BRONX, NY 10469-3403
Phone number: 718-379-9820
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