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Individual

MRS. CHAVA YANKELEWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8321 124TH PL, KEW GARDENS, NY 11415-2703
(718) 846-3472
Mailing address
8321 124TH PL, KEW GARDENS, NY 11415-2703
(718) 846-3472

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
847333273
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114495
TEACHER CERTIFICATION NUMBER
NY
Enumeration date
08/23/2013
Last updated
08/23/2013
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