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Organization
MK STAR INC
Active
Organization
MK STAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA MURAVINA M.S.ED. (SPECIAL EDUCATION TEACHER)
(917) 365-9833
Entity
Organization
Contact information
Practice address
104 LINWOOD AVE, STATEN ISLAND, NY 10305-4400
(917) 365-9833
(718) 979-0407
Mailing address
104 LINWOOD AVE, STATEN ISLAND, NY 10305-4400
(917) 365-9833
(718) 979-0407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922360338
SPECIAL EDUCATION TEACHER
NY
Enumeration date
10/31/2020
Last updated
10/31/2020
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