Individual provider · Type 1 NPI

Yefim Khaydatov, OT

Occupational Therapist · South Ozone Park, NY

NPI number 1093074254 Active

Practice location

10810 109th Ave
South Ozone Park, NY 11420-1005

Mailing address

10810 109th Avenue
South Ozone Park, NY 11420

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X63 017225 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1093074254

Yefim Khaydatov, OT's National Provider Identifier is 1093074254, issued on May 9, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Ozone Park, NY. The record was last updated on May 9, 2012.