Individual
MRS. MARYAM ESHAGHRASHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 149TH ST, WHITESTONE, NY 11357-3116
(516) 780-0770
Mailing address
19 SPRUCE ST, GREAT NECK, NY 11021-3802
(516) 765-0463
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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