Individual
OLENA DOROSHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 BENSON AVE, A21, BROOKLYN, NY 11214-4249
(718) 964-3822
Mailing address
2301 BENSON AVE APT A21, BROOKLYN, NY 11214-4266
(718) 964-3822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P96342
NY
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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