Individual
VALERIIA SHUSHKEVYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2695 SHELL RD APT 1D, BROOKLYN, NY 11223-6105
(631) 800-6113
Mailing address
2695 SHELL RD APT 1D, BROOKLYN, NY 11223-6105
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1596302221
NY
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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