# RN OCCUPATIONAL THERAPY P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023852811
- **Authorized official:** RAVITAL NARKOLAYEV OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (917) 373-4309

## Contact information

- **Practice address:** 8410 MAIN ST APT 456, JAMAICA, NY 11435-1731
- **Practice address phone:** (917) 373-4309
- **Mailing address:** 8410 MAIN ST APT 456, JAMAICA, NY 11435-1731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2024
- **Last updated:** 07/25/2024