DMITRIY MALYSHEV

REGO PARK, NY
NPI1720222649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  007206)
Enumeration Date2009-04-22
Last Update Date2009-04-22
Business Address
-- DMITRIY MALYSHEV ota
6612 102ND ST APT 5C
REGO PARK, NY 11374-4528
Phone number: 718-909-2375
Mailing Address
-- DMITRIY MALYSHEV ota
6612 102ND ST APT 5C
REGO PARK, NY 11374-4528
Phone number: 718-909-2375