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Organization
NISIMOV OCCUPATIONAL THERAPIST P.C.
Active
Organization
NISIMOV OCCUPATIONAL THERAPIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMNUN NISIMOV OT (OCCUPATIONAL THERAPIST)
(347) 394-9896
Entity
Organization
Contact information
Practice address
7602 UTOPIA PKWY, FRESH MEADOWS, NY 11366-1518
(347) 394-9896
Mailing address
7602 UTOPIA PKWY, FRESH MEADOWS, NY 11366-1518
(347) 394-9896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022065
NY
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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