Organization
YAFA OT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAFA S ISKHAKOVA OTRL (OCCUPATIONAL THERAPIST)
(347) 798-3873
Entity
Organization
Contact information
Practice address
9931 64TH AVE APT D7, REGO PARK, NY 11374-2605
(347) 798-3873
Mailing address
9931 64TH AVE APT D7, REGO PARK, NY 11374-2605
(347) 798-3873
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019992-1
NY
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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