Provider Demographics
NPI:1861659641
Name:OCCUPATIONAL THERAPY FOR KIDS AND ADULTS PC
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY FOR KIDS AND ADULTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZLATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-440-5902
Mailing Address - Street 1:8811 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2039
Mailing Address - Country:US
Mailing Address - Phone:718-846-2300
Mailing Address - Fax:718-846-2333
Practice Address - Street 1:8811 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2039
Practice Address - Country:US
Practice Address - Phone:718-846-2300
Practice Address - Fax:718-846-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014839-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty