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Organization
VIKA GABI INC
Active
Organization
VIKA GABI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENA SHMAVONYAN MSED (CEO)
(347) 445-7575
Entity
Organization
Contact information
Practice address
153 JACKSON AVE, STATEN ISLAND, NY 10305-4738
(347) 445-7575
Mailing address
153 JACKSON AVE, STATEN ISLAND, NY 10305-4738
(347) 445-7575
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
12/11/2024
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