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Individual

ALINA KHASANOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3056 BRIGHTON 13TH ST BSMT, BROOKLYN, NY 11235-5635
(646) 258-4248
Mailing address
3056 BRIGHTON 13TH ST BSMT, BROOKLYN, NY 11235-5635
(646) 258-4248

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025545
NY

Other

Enumeration date
12/12/2021
Last updated
12/12/2021
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