Individual
NADEJDA MANOLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
(718) 927-6300
Mailing address
685 RIVER AVE, LAKEWOOD, NJ 08701-5288
(732) 987-3885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305532NAMA
—
NY
Enumeration date
06/05/2012
Last updated
06/05/2012
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