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Contact Information

TAMARA DEKHKANOVA, OTR/L
7252 METROPOLITAN AVE STE 1
MIDDLE VILLAGE, NY11379-2103
 Phone: 718-326-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
 

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TAMARA DEKHKANOVA · (Female)

NPI Number 1750843959
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 04/05/2019
Last updated 04/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017290-1
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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