Individual
GULZAR AJANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
60 41 WETHEROLE ST, ELMHURST, NY 11373-5527
(646) 327-9956
Mailing address
60 41 WETHEROLE ST, ELMHURST, NY 11373
(646) 327-9956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003915-1
NY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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