Organization
REGION HOME THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY KHAIMOV (OCCUPATIONAL THERAPIST)
(646) 463-3927
Entity
Organization
Contact information
Practice address
854 E BROADWAY APT 3P, LONG BEACH, NY 11561-4731
(646) 463-3927
Mailing address
854 E BROADWAY APT 3P, LONG BEACH, NY 11561-4731
(646) 463-3927
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275047763
NPI
NY
Enumeration date
05/20/2020
Last updated
05/20/2020
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