Individual
MRS. SVETLANA FAYZIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7525 153RD ST, APARTMENT # 331, FLUSHING, NY 11367-3090
(718) 793-6382
Mailing address
7525 153RD ST, APARTMENT # 331, FLUSHING, NY 11367-3090
(718) 793-6382
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
678433222
NY
Other
Enumeration date
04/26/2009
Last updated
04/26/2009
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