KIM SUDAMA

BAY SHORE, NY
NPI1700929601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NY  012854)
Enumeration Date2007-02-14
Last Update Date2023-11-02
Business Address
KIM SUDAMA
1428 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-392-0081
Mailing Address
KIM SUDAMA
133 GRASSY POND DR
SMITHTOWN, NY 11787-4273
Phone number: 516-906-8957
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