Individual
LILY BAHRAMFARSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
992 GATES AVE, BROOKLYN, NY 11221-3602
(718) 483-9553
Mailing address
298 ELLERY ST APT 4A, BROOKLYN, NY 11206-5349
(314) 359-8766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011581
NY
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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