Individual
MR. RUSS TODD TAVROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
58 THOMPSON AVE, OCEANSIDE, NY 11572-5016
(516) 448-6359
(718) 763-4446
Mailing address
58 THOMPSON AVE, OCEANSIDE, NY 11572-5016
(516) 448-6359
(718) 763-4446
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
012002-1
NY
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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