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1760732861
MICHAEL SLYVESTER PURYEAR
ELMHURST, NY
NPI
1760732861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017152)
Enumeration Date
2012-09-16
Last Update Date
2018-12-13
Business Address
Mr. MICHAEL SLYVESTER PURYEAR OTR/L
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-2630
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Mailing Address
Mr. MICHAEL SLYVESTER PURYEAR OTR/L
7901 BROADWAY RM D216
ELMHURST, NY 11373-1329
Phone number: 718-334-2631
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