Individual
SHAZMA FAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSCOT
Contact information
Practice address
88 LEONARD ST APT 1802, NEW YORK, NY 10013-3667
(646) 415-3790
Mailing address
88 LEONARD ST APT 1802, NEW YORK, NY 10013-3667
(646) 415-3790
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014329
NY
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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