Individual
ALMAZ BOTROS
Active
Individual
ALMAZ BOTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
0089981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FFQ822666578
BLUE CROSS BLUE SHIELD
NY
Enumeration date
03/08/2017
Last updated
02/14/2023
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