Individual
LIDIYA BATSIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 OCEANA DR E APT 3B, BROOKLYN, NY 11235-6682
(917) 748-2525
Mailing address
105 OCEANA DR E APT 3B, BROOKLYN, NY 11235-6682
(917) 748-2525
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
773762131
NY
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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