Individual
ANASTASIA PANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3625
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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