Individual
SUSANA ISKIYAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14079 BURDEN CRES, BRIARWOOD, NY 11435-2322
(718) 790-0944
Mailing address
14079 BURDEN CRES, BRIARWOOD, NY 11435-2322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007961
NY
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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