Individual
YEFIM SIMKHAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1317 52ND ST, BROOKLYN, NY 11219
(718) 928-9564
Mailing address
221 CROWELLS RD, EDISON, NJ 08817-4941
(917) 201-8425
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
P11701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814726107
INDEPENDENT AGENCY
NY
05
—
P11701
—
NY
Enumeration date
10/15/2018
Last updated
10/15/2018
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