JUDITH SUSAN MYSTKOWSKI

PORT JEFFERSON STATION, NY
NPI1679291322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  008322-01)
Enumeration Date2022-08-18
Last Update Date2022-08-18
Business Address
Mrs. JUDITH SUSAN MYSTKOWSKI COTA
290 NORWOOD AVE
PORT JEFFERSON STATION, NY 11776-2562
Phone number: 631-474-8130
Mailing Address
Mrs. JUDITH SUSAN MYSTKOWSKI COTA
170 HUBER AVE
HOLBROOK, NY 11741-3217
Phone number: 631-553-2522