Individual
MARINA BALYKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3847 NEPTUNE AVE, BROOKLYN, NY 11224-1327
(646) 750-8892
Mailing address
3847 NEPTUNE AVE, BROOKLYN, NY 11224-1327
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008418-1
NY
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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