| NPI | 1164920500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZOL DAVYDOVA Occupational Therapy 917-499-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 020599) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-05-19 |