Provider Demographics
NPI:1033363775
Name:ARONOVA, SVETLANA (COTA)
Entity Type:Individual
Prefix:MRS
First Name:SVETLANA
Middle Name:
Last Name:ARONOVA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6485 SAUNDERS ST
Mailing Address - Street 2:A6
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3251
Mailing Address - Country:US
Mailing Address - Phone:718-459-3353
Mailing Address - Fax:
Practice Address - Street 1:6485 SAUNDERS ST
Practice Address - Street 2:A6
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3251
Practice Address - Country:US
Practice Address - Phone:718-459-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003829224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant