Individual
DANIEL YAGUDAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
14905 79TH AVE APT 109, FLUSHING, NY 11367-3821
(347) 223-6579
Mailing address
14905 79TH AVE APT 109, FLUSHING, NY 11367-3821
(347) 223-6579
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
663017121
NY
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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