MIKHAIL ILYASOV

REGO PARK, NY
NPI1780260018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  025495)
Enumeration Date2021-03-18
Last Update Date2021-03-18
Business Address
MIKHAIL ILYASOV OTR/L
9508 QUEENS BLVD STE 1E
REGO PARK, NY 11374-1151
Phone number: 718-275-2669
Mailing Address
MIKHAIL ILYASOV OTR/L
14765 HOOVER AVE
BRIARWOOD, NY 11435-2139
Phone number: 718-612-5634
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