| NPI | 1649765819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMNUN NISIMOV Occupational Therapist 347-394-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022065) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |