Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maisey Nisimov Occupational Therapist

Organization Occupational Therapist · NPI 1770241754

Maisey Nisimov Occupational Therapist is an Occupational Therapist in Greenwood Lake, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

22 Schradin Hl
Greenwood Lake, NY 10925-4109
Phone: (347) 209-8282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1770241754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maisey Nisimov — Owner · (347) 209-8282
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address7602 Utopia Pkwy, Fresh Meadows, NY 11366-1518

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