Gulzar Ajani, OTA

Individual provider Active NPI Occupational Therapy Assistant · Elmhurst, NY

NPI 1093007759 · NPPES record last updated May 12, 2011

Key facts

NPI
1093007759
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
003915-1 (NY)
Practice address
60 41 Wetherole St
Elmhurst, NY 11373-5527
Phone
(646) 327-9956
NPI assigned
May 12, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
003915-1NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 003915-1 NY Yes

Addresses

Primary practice location

60 41 Wetherole St
Elmhurst, NY 11373-5527

Mailing address

60 41 Wetherole St
Elmhurst, NY 11373
Phone (646) 327-9956

Other providers in Elmhurst, NY

All providers in Elmhurst, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.