Individual
AMY AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6511 BOOTH ST STE CA, REGO PARK, NY 11374-4182
(718) 406-9296
Mailing address
10820 71ST AVE APT 6C, FOREST HILLS, NY 11375-4529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022879
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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