Individual
ESTHER ISRAYELASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6260 99TH ST, REGO PARK, NY 11374-1842
(718) 577-8022
Mailing address
6260 99TH ST APT 708, REGO PARK, NY 11374-6020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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