Individual
MRS. AZITA MIRIAM YOUSEFLALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL ED TEACHER
Contact information
Practice address
2170 MCDONALD AVE, BROOKLYN, NY 11223-2940
(718) 265-3331
Mailing address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 998-1415
(347) 544-2888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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