Search › New York › 224Z00000X
Hunter Mall, COTA
NPI 1912742859 · on the registry since 2024 · sole proprietor
Practice
- Address
- 264 Jeffersonville North Branch Rd
Jeffersonville, NY 12748 - Phone
- (845) 796-8200
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-01
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