Individual
MR. FIMA BLYAKHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
80TH ST & 41ST AVE, ELMHURST, NY 11373-1329
(718) 334-5970
(718) 334-5958
Mailing address
7901 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013720
NY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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