Individual
YUSUF A RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 LAFAYETTE AVE, STATEN ISLAND, NY 10301-1219
(718) 448-9000
(718) 448-0105
Mailing address
14012 243RD ST, ROSEDALE, NY 11422-2125
(917) 653-4534
(718) 448-0105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006333-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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