Provider Demographics
NPI:1922834837
Name:MENIKHES, ARKADY (OTAS)
Entity type:Individual
Prefix:
First Name:ARKADY
Middle Name:
Last Name:MENIKHES
Suffix:
Gender:M
Credentials:OTAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 WILLMOHR ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3205
Mailing Address - Country:US
Mailing Address - Phone:646-464-5229
Mailing Address - Fax:
Practice Address - Street 1:1155 WILLMOHR ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3205
Practice Address - Country:US
Practice Address - Phone:646-464-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty