Active NPIIndividual providerSole proprietor

Mr. Leonid Yagudayev, OT

Occupational Therapist in Floral Park, New York

NPI Number1780701854
Practice location
100 Cherry St, Floral Park, NY 11001-3343
Fax
—
Last updated
August 28, 2012

Leonid Yagudayev is an Occupational Therapist based in Floral Park, NY. Leonid Yagudayev practices in Floral Park, NY and has the professional credentials of OT. The NPI Number for Leonid Yagudayev is 1780701854 and holds a License No. 009163-1 (NY). The current practice location address for Leonid Yagudayev is 100 Cherry St, Floral Park, NY 11001-3343 and can be reached out via phone at 201-916-8442.

Provider Profile Details

NPI Number
1780701854
Provider Name
Leonid Yagudayev
Credential
OT
Provider Entity Type
Individual
Gender
Male
Address
100 Cherry St, Floral Park, NY 11001-3343
Phone Number
201-916-8442
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 23, 2007
Last Update Date
August 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Cherry St
Floral Park, NY 11001-3343
Zip
11001-3343
Phone Number
201-916-8442
Floral Park, NY 11001Get directions →

Provider Business Mailing Address Details

Address
100 Cherry St
Floral Park, NY 11001-3343
City
Floral Park
State
NY
Zip
11001-3343
Phone Number
201-916-8442

License Information

License Number (1)
009163-1
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
46TR00283000
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Leonid Yagudayev, OT?

The NPI number of Mr. Leonid Yagudayev, OT is 1780701854. It was assigned on March 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Leonid Yagudayev, OT?

Mr. Leonid Yagudayev, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 009163-1.

Where does Mr. Leonid Yagudayev, OT practice?

The practice location is 100 Cherry St, Floral Park, NY 11001-3343. The office can be reached at 201-916-8442 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780701854 directly on the NPPES registry website.

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