Individual
SADAF SOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BEACH RD APT 2C, GREAT NECK, NY 11023-1145
(347) 870-2505
Mailing address
15 BEACH RD APT 2C, GREAT NECK, NY 11023-1145
(347) 870-2505
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
321702983
NY
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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