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1740750587
KIRAN SHAFIQUE
BROOKLYN, NY
NPI
1740750587
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Former Name
KIRAN GHOUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 022531)
Enumeration Date
2018-12-04
Last Update Date
2021-10-16
Business Address
KIRAN SHAFIQUE OTR/L
1642 63RD ST
BROOKLYN, NY 11204-2744
Phone number: 718-234-5700
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Mailing Address
KIRAN SHAFIQUE OTR/L
445 BROADWAY GREENLAWN
HUNTINGTON, NY 11743-5424
Phone number: 347-602-3341
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