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

AVIVA NISANOV

Active

AVIVA NISANOV is a Occupational Therapy Assistant healthcare provider located in ROCKAWAY PARK, New York. NPI 1558091553 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ROCKAWAY PARK, NY

Registration Details

NPI Number
1558091553
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2022 (4.1870770480378 yrs)
Last Updated
Jun 13, 2022

Practice Information

Address
11506 ROCKAWAY BEACH BLVD
ROCKAWAY PARK, NY, 116942346
Browse NY providers · Browse ZIP 11694
Phone
9172540973
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ROCKAWAY PARK, NY

Name Credential NPI
NADEZHDA EPSHTEYN COTA 1154878973
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.