Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 003829 | NY |
NPI | 1033363775 |
---|---|
Provider Name | Mrs. Svetlana Aronova |
First Address | Rego Park, NY 11374-3251 |
Second Address | Rego Park, NY 11374-3251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2008 |
Last Update Date | 07/11/2008 |