Individual
ANNA IVASYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2955 BRIGHTON 4TH ST, BROOKLYN, NY 11235-8533
(718) 332-0080
Mailing address
1750 W 9TH ST, BROOKLYN, NY 11223-1239
(609) 357-8902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010743
NY
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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