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1124170923
CHARLES ALFRED
GLEN COVE, NY
NPI
1124170923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 006539)
Enumeration Date
2007-01-18
Last Update Date
2016-10-12
Business Address
-- CHARLES ALFRED NYS . OTA
141 DOSORIS LN GLENGARIFF HEALTH CARE CENTER
GLEN COVE, NY 11542-1225
Phone number: 516-676-1100
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Mailing Address
-- CHARLES ALFRED NYS . OTA
15 STARKS PL
LYNBROOK, NY 11563-4024
Phone number: 516-851-6098
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