Most Relevant Information
Provider Data
| NPI Number: | 1003055823 |
| Provider Name: | MELANIE G FERGUSON COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 001201-1 |
Most Important Dates
| Enumeration Date: | 02/18/2009 |
| Last Updated: | 02/18/2009 |
Provider Practice Location
178 UNION AVE
NEW WINDSOR
NY
125537017
Practice Location Phone/Fax
| Phone: | 8458383477 |
| Fax: |
Provider Mailing Location
178 UNION AVE
NEW WINDSOR
NY
125537017
Provider Mailing Phone/Fax
| Phone: | 8455625131 |
| Fax: |