SVYATOSLAV FASTOVETSKY

JAMAICA, NY
NPI1316449580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  022324)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
SVYATOSLAV FASTOVETSKY MS
9420 GUY R BREWER BLVD
JAMAICA, NY 11451-0001
Phone number: 718-262-2000
Mailing Address
SVYATOSLAV FASTOVETSKY MS
9420 GUY R BREWER BLVD
JAMAICA, NY 11451-0001
Phone number:
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