Individual
VICTORIA MIRZOKANDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8212 151ST AVE, HOWARD BEACH, NY 11414-1793
(718) 848-0300
Mailing address
8212 151ST AVE, HOWARD BEACH, NY 11414-1793
(718) 848-0300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007803-1
NY
Other
Enumeration date
09/04/2012
Last updated
09/14/2012
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