Individual
GEORGIY YANKULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2571 E 17TH ST, BROOKLYN, NY 11235-3585
(927) 371-2131
Mailing address
2571 E 17TH ST, BROOKLYN, NY 11235-3585
(927) 371-2131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009196
NY
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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