Provider Demographics
NPI:1902519119
Name:AMINOV, AVI UZIEL (OTR)
Entity Type:Individual
Prefix:MR
First Name:AVI
Middle Name:UZIEL
Last Name:AMINOV
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15024 78TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3540
Mailing Address - Country:US
Mailing Address - Phone:347-596-7675
Mailing Address - Fax:
Practice Address - Street 1:15024 78TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3540
Practice Address - Country:US
Practice Address - Phone:347-596-7675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist