Provider Demographics
NPI:1487988275
Name:MUNAROVA, LYUDNILA LEAH (BA, BS, MA, OT)
Entity type:Individual
Prefix:
First Name:LYUDNILA
Middle Name:LEAH
Last Name:MUNAROVA
Suffix:
Gender:F
Credentials:BA, BS, MA, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64-60 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:646-267-2818
Mailing Address - Fax:
Practice Address - Street 1:BIRCH LONG ISLAND EARLY CHILDHOOD CENTER
Practice Address - Street 2:10-24 49TH AVE
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:718-786-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0150501225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics