Individual
MRS. AMANI BASSAM ABDELRASOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 W 9TH ST, BROOKLYN, NY 11204-6435
(347) 592-4489
Mailing address
1536 W 9TH ST, BROOKLYN, NY 11204-6435
(347) 592-4489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019716
NY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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