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

Aviva Nisanov

Individual provider Occupational Therapy Assistant · NPI 1558091553

Aviva Nisanov is an Occupational Therapy Assistant in Rockaway Park, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

11506 Rockaway Beach Blvd
Rockaway Park, NY 11694-2346
Phone: (917) 254-0973
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1558091553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

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