Individual
MR. KYLE RYAN PLOKHOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3846 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
Mailing address
30 2ND ST, BLOOMFIELD, NJ 07003-2322
(973) 255-8606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010759
NY
224Z00000X
Occupational Therapy Assistant
46TA09195600
NJ
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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