Individual
KYRELLOS S HANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6512 FOREST AVE, RIDGEWOOD, NY 11385-2537
(347) 691-6806
Mailing address
6512 FOREST AVE, RIDGEWOOD, NY 11385-2537
(347) 691-6806
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011336-01
NY
Other
Enumeration date
05/31/2023
Last updated
06/02/2023
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