Mazal Mullodzhanova, | |
9817 Horace Harding Expy, Corona, NY 11368-4248 | |
(347) 451-2758 | |
Not Available |
Full Name | Mazal Mullodzhanova |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 9817 Horace Harding Expy, Corona, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235892381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 025832 (New York) | Primary |
Provider Name | New York Physical And Occupational Therapy Services Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356703631 PECOS PAC ID: 6305144775 Enrollment ID: O20160419000323 |
Mailing Address | Practice Location Address |
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Mazal Mullodzhanova, 9817 Horace Harding Expy, Corona, NY 11368-4248 Ph: (347) 451-2758 | Mazal Mullodzhanova, 9817 Horace Harding Expy, Corona, NY 11368-4248 Ph: (347) 451-2758 |
Cynthia J. Gresham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3537 102nd St, Corona, NY 11368 Phone: 718-533-1472 | |
Abigail Nisanov, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Otis Ave, Corona, NY 11368 Phone: 718-699-6071 | |
Ms. Larisa Mullodzhanova, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9705 Horace Harding Expy Apt 11b, Corona, NY 11368 Phone: 718-791-2594 | |
Mr. Razanoor Rahaman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9942 41st Ave Apt 4c, Corona, NY 11368 Phone: 347-845-8800 | |
Cheryl Tannenbaum, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Otis Ave, Corona, NY 11368 Phone: 718-699-6071 | |
Mr. Klever Moises Vasquez Alvarado, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11112 42nd Ave, Corona, NY 11368 Phone: 347-610-6297 |