Individual
AVIVA BLAUSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1434 E 19TH ST, BROOKLYN, NY 11230-6716
(773) 558-3114
Mailing address
14032 69TH RD, FLUSHING, NY 11367-1616
(773) 558-3114
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019815-1
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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