Individual
SHULAMIT YUSHANAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
192 E 151ST ST, BRONX, NY 10451-5292
(347) 585-0511
Mailing address
6751 179TH ST, FRESH MEADOWS, NY 11365-3539
(347) 585-0511
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024190
NY
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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