Individual
IBADULLAH SHARIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6800 JERICHO TPKE, SYOSSET, NY 11791, SYOSSET, NY 11791
(909) 551-6673
Mailing address
188 FLAX HILL RD APT B1, NORWALK, CT 06854-2845
(909) 551-6673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/06/2022
Last updated
06/07/2022
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