Individual
YOUANNA ISRAELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 102ND ST APT 1E, REGO PARK, NY 11374-4530
(718) 377-5000
Mailing address
6608 102ND ST APT 1E, REGO PARK, NY 11374-4530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009597-1
NY
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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