Individual
ANASTASIA ANTONENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 EAST 58 STREER, 2C, NEW YORK, NY 10022
(718) 679-6050
Mailing address
210 E 58TH ST APT 2C, NEW YORK, NY 10022-2038
(718) 679-6050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018530
NY
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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