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Organization
MAISEY NISIMOV OCCUPATIONAL THERAPIST
Active
Organization
MAISEY NISIMOV OCCUPATIONAL THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAISEY NISIMOV (OWNER)
(347) 209-8282
Entity
Organization
Contact information
Practice address
22 SCHRADIN HL, GREENWOOD LAKE, NY 10925-4109
(347) 209-8282
Mailing address
7602 UTOPIA PKWY, FRESH MEADOWS, NY 11366-1518
(347) 209-8282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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