Individual
MISS FARNAZ LAVIANLIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
14746 78TH AVE, FLUSHING, NY 11367-3433
(212) 920-9517
Mailing address
14746 78TH AVE, FLUSHING, NY 11367-3433
(212) 920-9517
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
415984101
NY
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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