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

Tatyana Prusakova

Individual provider Occupational Therapist · NPI 1548625601

Tatyana Prusakova is an Occupational Therapist in Holbrook, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

20 Peachtree Ct Ste 105
Holbrook, NY 11741-4616
Phone: (631) 467-3700
Fax: (631) 467-0928
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 013901 (NY)

Record details

NPI number1548625601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2015
Last updated in NPPESDecember 16, 2015

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