Provider Demographics
NPI:1730490517
Name:CHULPAYEVA, YULIYA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:YULIYA
Middle Name:
Last Name:CHULPAYEVA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 63RD DR
Mailing Address - Street 2:228
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3852
Mailing Address - Country:US
Mailing Address - Phone:718-749-6488
Mailing Address - Fax:
Practice Address - Street 1:8911 63RD DR
Practice Address - Street 2:228
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3852
Practice Address - Country:US
Practice Address - Phone:718-749-6488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016129225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist