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

Natalie Nisanov

Individual provider Occupational Therapist · NPI 1720950397

Natalie Nisanov is an Occupational Therapist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

14745 75th Rd Apt 1B
Flushing, NY 11367-2908
Phone: (718) 755-4674
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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 030601 (NY)

Record details

NPI number1720950397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 22, 2025
Mailing address14745 75th Rd Apt 1b, Flushing, NY 11367-2908

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