Individual
ALBINA MUTAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
574 77TH ST APT A3, BROOKLYN, NY 11209-3333
(646) 952-1106
Mailing address
574 77TH ST APT A3, BROOKLYN, NY 11209-3333
(646) 952-1106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CERTIFIED
NY
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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