Individual
DVORA KHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 NORTHERN BLVD, GREAT NECK, NY 11021-5317
(516) 336-2554
Mailing address
9609 66TH AVE APT 4A, REGO PARK, NY 11374-4113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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