Individual
MS. NARGIZA ISMAILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CANNON PLACE, REHAB DEPARTMENT, BRONX, NY 10463-1046
(718) 796-8100
Mailing address
212 KNOLLCREST LN, CHESTER, NY 10918-1579
(845) 282-1484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010092-1
NY
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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