Individual
CHANI FEFERKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6002 NEW UTRECHT AVE, BROOKLYN, NY 11219-5026
(718) 633-2605
Mailing address
920 46TH ST, BROOKLYN, NY 11219-2331
(718) 435-5348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019976-1
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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