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

Nisimov Occupational Therapist PC

Organization Occupational Therapist · NPI 1649765819

Nisimov Occupational Therapist PC is an Occupational Therapist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7602 Utopia Pkwy
Fresh Meadows, NY 11366-1518
Phone: (347) 394-9896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 022065 (NY)

Record details

NPI number1649765819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amnun Nisimov — Occupational Therapist · (347) 394-9896
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 28, 2018
Mailing address7602 Utopia Pkwy, Fresh Meadows, NY 11366-1518

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