Individual
FAGIE KAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7534 150TH ST APT 2C, FLUSHING, NY 11367-3147
(347) 456-1012
Mailing address
7534 150TH ST APT 2C, FLUSHING, NY 11367-3147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021462
NY
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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