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

Individual provider Occupational Therapist · NPI 1093074254

Yefim Khaydatov, OT is an Occupational Therapist in South Ozone Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

10810 109th Ave
South Ozone Park, NY 11420-1005
Phone: (718) 641-4956
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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 63 017225 (NY)

Record details

NPI number1093074254
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedMay 9, 2012
Last updated in NPPESMay 9, 2012

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