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Individual

GALINA KHASIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
14459 68TH AVE, FLUSHING, NY 11367-1326
(718) 427-6313
Mailing address
14459 68TH AVE, FLUSHING, NY 11367-1326
(718) 427-6313

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007759-1
NY

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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