Individual
AYELET DERKHIDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1238 E 27TH ST, BROOKLYN, NY 11210-4623
(347) 517-8353
Mailing address
1238 E 27TH ST, BROOKLYN, NY 11210-4623
(347) 517-8353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025677
NY
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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