Individual
ANATOLY SPEKTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Mailing address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009071
NY
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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