Organization
MIKHAIL ABDURAKHMANOV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL ABDURAKHMANOV (OCCUPATIONAL THERAPIST)
(973) 986-9800
Entity
Organization
Contact information
Practice address
6510 99TH ST, REGO PARK, NY 11374-3569
(718) 606-1818
Mailing address
9810 64TH AVE APT 7C, REGO PARK, NY 11374-2503
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
018570
NY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
018570
NY
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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