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1659064004
KYRELLOS S HANA
RIDGEWOOD, NY
NPI
1659064004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 011336-01)
Enumeration Date
2023-05-31
Last Update Date
2023-06-02
Business Address
KYRELLOS S HANA COTA
6512 FOREST AVE
RIDGEWOOD, NY 11385-2537
Phone number: 347-691-6806
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Mailing Address
KYRELLOS S HANA COTA
6512 FOREST AVE
RIDGEWOOD, NY 11385-2537
Phone number: 347-691-6806
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