Most Relevant Information
Provider Data
| NPI Number: | 1003508714 |
| Provider Name: | VALERIE KHODORKOVSKIY OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 026109-01 |
Most Important Dates
| Enumeration Date: | 05/22/2023 |
| Last Updated: | 05/22/2023 |
Provider Practice Location
2781 SHELL RD STE 101
BROOKLYN
NY
112236142
Practice Location Phone/Fax
| Phone: | 7186481234 |
| Fax: | 7186481239 |
Provider Mailing Location
2781 SHELL RD STE 101
BROOKLYN
NY
112236142
Provider Mailing Phone/Fax
| Phone: | 7186481234 |
| Fax: | 7186481239 |