VYACHESLAV SUHOSTAVSKIY

BROOKLYN, NY
NPI1639312119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  015542)
Enumeration Date2009-04-13
Last Update Date2009-04-13
Business Address
Mr. VYACHESLAV SUHOSTAVSKIY OTR/L
236 NEPTUNE AVE
BROOKLYN, NY 11235-6302
Phone number: 718-769-2698
Mailing Address
Mr. VYACHESLAV SUHOSTAVSKIY OTR/L
1311 BRIGHTWATER AVE 5-D
BROOKLYN, NY 11235-5962
Phone number: 917-698-9868