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1891350518
SALAR JAMAL KHAN
BROOKLYN, NY
NPI
1891350518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 009843-1)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
SALAR JAMAL KHAN COTA
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
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Mailing Address
SALAR JAMAL KHAN COTA
9 GRANDVIEW AVE
NANUET, NY 10954-2510
Phone number: 845-323-6427
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