Ruth Nisanov, OT

NPI #1578254199 in Middle Village, New York

Provider Information

NPI Number: 1578254199
Entity Type: Individual
Name: Ruth Nisanov, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 16, 2023
Last Updated: May 16, 2023

Practice Location

Address: 6308 69TH PL
City: Middle Village
State: New York
ZIP Code: 11379-1726
Phone: (718) 381-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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