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Organization
TATYANA AND DMITRY KHODIK, LLC
Active
Organization
TATYANA AND DMITRY KHODIK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRY KHODIK M.ED. (SPECIAL EDUCATION TEACHER)
(917) 613-4028
Entity
Organization
Contact information
Practice address
22215 KINGSBURY AVE, OAKLAND GARDENS, NY 11364-3649
(917) 613-4028
Mailing address
222-15 KINGSBURY AVE, OAKLAND GARDENS, NY 11364-3649
(917) 613-4028
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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