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Mrs. Mary Mai Iwanenko, MS,OTR/L,ATP,SI/C
Specialist in Lackawanna, New York
NPI 1811173990

Mary Mai Iwanenko is a Specialist based in Lackawanna, NY. Mary Mai Iwanenko practices in Lackawanna, NY and has the professional credentials of MS,OTR/L,ATP,SI/C. The NPI Number for Mary Mai Iwanenko is 1811173990 and holds a License No. 006633-1 (New York).

The current practice location address for Mary Mai Iwanenko is 1025 Ridge Rd, Lackawanna, NY and can be reached out via phone at 716-822-4781 and via fax at 716-362-8989.

Location: 1025 Ridge Rd, Lackawanna, NY, 14218-1753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811173990
Provider Name
Mary Mai Iwanenko
Credential
MS,OTR/L,ATP,SI/C
Provider Entity Type
Individual
Gender
Female
Address
1025 Ridge Rd, Lackawanna, NY, 14218-1753
Phone Number
716-822-4781
Fax Number
716-362-8989
Provider Enumeration Date
01/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1025 Ridge Rd
City
Lackawanna
State
New York
Zip
14218-1755
Phone Number
716-822-4781
Fax Number
716-362-8989
person
Provider Business Mailing Address Details
Address
1025 Ridge Rd
City
Lackawanna
State
New York
Zip
14218-1755
Phone Number
716-822-4781
Fax Number
716-362-8989
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
006633-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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