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Contact Information

YASSER E WANIS SR
6738 73RD PL MIDDLE VILLAGE
APT 2
QUEENS, NY11379
 Phone: 929-422-8301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for YASSER E WANIS SR · (Male)

NPI Number 1063386407
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2025
Last updated 09/30/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # P128085
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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