Yefim Khaydatov, OT
NPI #1093074254 in South Ozone Park, New York
Provider Information
- NPI Number
- 1093074254
- Entity Type
- Individual
- Name
- Yefim Khaydatov, OT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- May 9, 2012
- Last Updated
- May 9, 2012
Practice Location
- Address
- 10810 109TH AVE
- City
- South Ozone Park
- State
- New York
- ZIP Code
- 11420-1005
- Phone
- (718) 641-4956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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