Individual
YEVGENIYA SHISTER-HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
376 BAY 44TH ST, BROOKLYN, NY 11214-7103
(718) 906-5400
Mailing address
2765 STRICKLAND AVE FL 2, BROOKLYN, NY 11234-6428
(917) 774-2266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008404
NY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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