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Edward Immel, OTR

NPI 1578884771 · on the registry since 2010 · sole proprietor

Practice

Address
1493 Blue Spruce Ln
Wantagh, NY 11793
Phone
(516) 456-8383

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York