Provider Demographics
NPI:1467694042
Name:AIM OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:AIM OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:917-209-3056
Mailing Address - Street 1:9707 63RD RD
Mailing Address - Street 2:APT 7B
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1641
Mailing Address - Country:US
Mailing Address - Phone:917-209-3056
Mailing Address - Fax:
Practice Address - Street 1:7742 164TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1227
Practice Address - Country:US
Practice Address - Phone:917-209-3056
Practice Address - Fax:718-969-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011689208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ66581Medicare UPIN