YEFIM KHAYDATOV

SOUTH OZONE PARK, NY
NPI1093074254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  63 017225)
Enumeration Date2012-05-09
Last Update Date2012-05-09
Business Address
-- YEFIM KHAYDATOV OT
10810 109TH AVE
SOUTH OZONE PARK, NY 11420-1005
Phone number: 718-641-4956
Mailing Address
-- YEFIM KHAYDATOV OT
10810 109TH AVENUE
SOUTH OZONE PARK, NY 11420
Phone number: 718-641-4956