Individual
NSIKAN EYOUDOFIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21714 103RD AVE, QUEENS VILLAGE, NY 11429-1117
(718) 690-6761
Mailing address
21714 103RD AVE, QUEENS VILLAGE, NY 11429-1117
(718) 690-6761
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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