Individual
NADEZHDA EPSHTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10500 SHORE FRONT PKWY, APT.5 G, ROCKAWAY PARK, NY 11694-2785
(718) 702-8319
Mailing address
10500 SHORE FRONT PKWY, APT.5 G, ROCKAWAY PARK, NY 11694-2785
(718) 702-8319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008615-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741910735-00
FIDELIS CARE
NY
Enumeration date
09/09/2016
Last updated
09/09/2016
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