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Organization
MARINA SLP PC
Active
Organization
MARINA SLP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA YAKOBOV MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(347) 475-9171
Entity
Organization
Contact information
Practice address
6700 192ND ST APT 404, FRESH MEADOWS, NY 11365-3735
(347) 475-9171
Mailing address
6700 192ND ST APT 404, FRESH MEADOWS, NY 11365-3735
(347) 475-9171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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