MEDICARE: SOFIYA AMINOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	026499	NY
2	224Z00000X	Occupational Therapy Assistant	008777	NY

General Provider Information

NPI Number	:	1861860538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIYA AMINOVA

Provider Business Mailing Address
First Line	:	1445 GENEVA LOOP APT 10C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-2414
Country	:	US
Telephone Number	:	347-406-7661
Fax Number	:

Provider Business Practice Location Address
First Line	:	2906 BRIGHTON 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4753
Country	:	US
Telephone Number	:	718-604-5469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2015
Last Update Date	:	03/02/2026

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Directions to “ SOFIYA AMINOVA ” Practice Location

Language	Start Address	Practice Location

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