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1679291322
JUDITH SUSAN MYSTKOWSKI
PORT JEFFERSON STATION, NY
NPI
1679291322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 008322-01)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
Mrs. JUDITH SUSAN MYSTKOWSKI COTA
290 NORWOOD AVE
PORT JEFFERSON STATION, NY 11776-2562
Phone number: 631-474-8130
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Mailing Address
Mrs. JUDITH SUSAN MYSTKOWSKI COTA
170 HUBER AVE
HOLBROOK, NY 11741-3217
Phone number: 631-553-2522
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