MAKSIM NISANOV

BROOKLYN, NY
NPI1821676495
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2021-04-01
Last Update Date2021-09-01
Business Address
MAKSIM NISANOV
1642 63RD ST
BROOKLYN, NY 11204-2744
Phone number: 718-234-5700
Mailing Address
MAKSIM NISANOV
1642 63RD ST
BROOKLYN, NY 11204-2744
Phone number: 718-532-6278
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