| NPI | 1114761293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA ILYASOVA Occupational Therapist 347-265-3064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |