Individual
ELINOY TAVIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 94TH ST, ELMHURST, NY 11373-4635
(516) 580-5183
Mailing address
14711 COOLIDGE AVE, JAMAICA, NY 11435-1203
(516) 580-5183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029354-01
NY
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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