Individual
DANIEL HAFISOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
14437 76TH RD, FLUSHING, NY 11367-3119
(347) 485-6895
Mailing address
14437 76TH RD, FLUSHING, NY 11367-3119
(347) 485-6895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029699
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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