Individual
MR. YASSER ESHAK WANIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6738 73RD PL MIDDLE VILLAGE, APT 2, QUEENS, NY 11379
(929) 422-8301
Mailing address
6738 73RD PL MIDDLE VILLAGE, APT 2, QUEENS, NY 11379
(929) 422-8301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P128085
NY
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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