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1124525670
MARVIN MATHEW
SYOSSET, NY
NPI
1124525670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 009684)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
MARVIN MATHEW COTA
6800 JERICHO TPKE STE 120W
SYOSSET, NY 11791-4445
Phone number: 516-393-5966
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Mailing Address
MARVIN MATHEW COTA
4103 OVERLOOK CIR
PIERMONT, NY 10968-1290
Phone number: 845-548-8670
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