Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KSENIYA SHIMUNOVA, OTR/L
Active Sole ProprietorKSENIYA SHIMUNOVA, OTR/L is a Behavioral Health, Residential healthcare provider located in FOREST HILLS, New York. NPI 1215299201 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · FOREST HILLS, NY
Registration Details
- NPI Number
- 1215299201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2012 (14.212290285595 yrs)
- Last Updated
- Jun 14, 2012
- License
-
017227-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10240 62ND AVE APT 3EFOREST HILLS, NY, 113751031Browse NY providers · Browse ZIP 11375
- Phone
- 7185927234
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.