Individual
MR. SEAN SHAHIN FARHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
26460 73RD AVE, GLEN OAKS, NY 11004-1032
(718) 986-3649
Mailing address
26460 73RD AVE, GLEN OAKS, NY 11004-1032
(718) 986-3649
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009970
NY
Other
Enumeration date
11/18/2008
Last updated
12/27/2010
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