Yafa OT, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

019992-1 Issued in NY

Legal business name

YAFA OT, P.C.

Practice address

9931 64TH Ave Apt D7
Rego Park, NY 11374-2605

Phone

(347) 798-3873

NPI assigned

Oct 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yafa S Iskhakova, OTRL

Title

Occupational Therapist

Phone

(347) 798-3873

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1831601046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 64TH AVE APT D7",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742605",
            "telephone_number": "347-798-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9931 64TH AVE APT D7",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742605",
            "telephone_number": "347-798-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAFA OT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOVA",
        "authorized_official_first_name": "YAFA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "347-798-3873",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "019992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.