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Individual

MISS BERTA KHASINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.ED

Contact information

Practice address
236 2ND AVE, NEW YORK, NY 10003-2704
(212) 683-8906
Mailing address
2775 W. 5TH ST., 21G, BROOKLYN, NY 11224-4161
(347) 827-7284

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2522112
NY

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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