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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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