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Individual
ELISSAVETA G IORDANOVA
Active
Individual
ELISSAVETA G IORDANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002141-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9046310213
1199
NY
Enumeration date
04/23/2020
Last updated
04/23/2020
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