Individual
ALEKSANDRA KUSHMAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9905 63RD DR APT 11G, REGO PARK, NY 11374-2405
(347) 288-3107
Mailing address
9905 63RD DR APT 11G, REGO PARK, NY 11374-2405
(347) 288-3107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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