Mystkowski, Judith Susan
Mystkowski, Judith Susan is an sole proprietor health care provider with primary practice located at 290 Norwood Ave , Port Jefferson Station NY 11776-2562. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mystkowski, Judith Susan can be contacted via phone (631) 474-8130.Contact Information
Primary practice address
290 Norwood Ave
Port Jefferson Station NY 11776-2562
Phone: (631) 474-8130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 008322-01 | New York |
Profile Details
| NPI number | 1679291322 |
|---|---|
| LBN Legal business name | Mystkowski, Judith Susan |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2022 |
| Last updated | Aug 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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