Aviva Nisanov
NPI #1558091553 in Rockaway Park, New York
Provider Information
- NPI Number
- 1558091553
- Entity Type
- Individual
- Name
- Aviva Nisanov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jun 13, 2022
- Last Updated
- Jun 13, 2022
Practice Location
- Address
- 11506 ROCKAWAY BEACH BLVD
- City
- Rockaway Park
- State
- New York
- ZIP Code
- 11694-2346
- Phone
- (917) 254-0973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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