Individual
ISHA GURUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9905 63RD DR APT 5P, REGO PARK, NY 11374-2403
(718) 696-7511
Mailing address
9905 63RD DR APT 5P, REGO PARK, NY 11374-2403
(718) 696-7511
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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