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Organization
HIGH IMPACT OCCUPATIONAL THERAPY PC
Active
Organization
HIGH IMPACT OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV GLUKH OTR/L (OWNER)
(347) 733-1774
Entity
Organization
Contact information
Practice address
93 ABINGDON AVE, STATEN ISLAND, NY 10308-2202
(347) 733-1774
Mailing address
93 ABINGDON AVE, STATEN ISLAND, NY 10308-2202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019190
NY
Other
Enumeration date
11/19/2014
Last updated
11/10/2016
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