IndividualActive
Abigail Nisanov, OTR/L
NPI 1235643156 · Pediatric Occupational Therapist · Corona, NY
Provider details
- NPI number
- 1235643156
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 022121 (NY)
Mailing address
14736 76th Ave
Flushing, NY 11367-3118
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2017-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.