Individual
LEORA SDAYEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14429 72ND RD, FLUSHING, NY 11367-2405
(646) 642-6228
Mailing address
14429 72ND RD, FLUSHING, NY 11367-2405
(646) 642-6228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089271
—
NY
Enumeration date
01/09/2019
Last updated
01/09/2019
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