Individual
ELIANA KOYENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
7508 172ND ST, FRESH MEADOWS, NY 11366-1423
(917) 509-7944
(917) 509-7944
Mailing address
7508 172ND ST, FRESH MEADOWS, NY 11366-1423
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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