Individual
ELEANOR LAYLIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
7252 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2100
(718) 326-0055
Mailing address
7252 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2100
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021194
NY
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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