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Organization
SPEECH
Active
Organization
SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROZALIYA YARUSSKAYA (PRESIDENT)
(347) 462-4270
Entity
Organization
Contact information
Practice address
2911 SURF AVE, BROOKLYN, NY 11224-1705
(718) 265-3456
Mailing address
223 PICCADILLY DWNS, LYNBROOK, NY 11563-3145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0181431
NY
Other
Enumeration date
08/31/2009
Last updated
11/18/2009
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