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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TATYANA PRUSAKOVA

Active

TATYANA PRUSAKOVA is a Occupational Therapist healthcare provider located in HOLBROOK, New York. NPI 1548625601 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · HOLBROOK, NY

Registration Details

NPI Number
1548625601
Provider Type
Individual
Gender
Female
NPI Issued
Dec 16, 2015 (10.676245712967 yrs)
Last Updated
Dec 16, 2015
License
013901 (NY)

Practice Information

Address
20 PEACHTREE CT
SUITE 105
HOLBROOK, NY, 117414616
Browse NY providers · Browse ZIP 11741
Phone
6314673700
Fax
6314670928
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in HOLBROOK, NY

Name Credential NPI
KERBY COULANGES O.T. 1457399529
AMANDA NICOLE DEYO OT 1245279611
MR. ALEXANDER LOPEZ P.T. 1982646931
HANTZ MAXIME O.T. 1558390682
MS. JANE THERESA PORCARO 1245367515
MR. JOSEPH JOHN MCGOVERN OT 1386772119
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.