Individual
MIRA NATANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WINSTON DR APT 718, CLIFFSIDE PARK, NJ 07010-3214
(201) 888-0573
Mailing address
6260 108TH ST APT 3B, FOREST HILLS, NY 11375-1301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006745-1
NY
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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