Individual
NENSI NALETILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20940 27TH AVE, BAYSIDE, NY 11360-2405
(917) 951-8105
Mailing address
20940 27TH AVE, BAYSIDE, NY 11360-2405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1894766
NY
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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