Individual
MRS. GABRIELE KAZAKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER'S
Contact information
Practice address
37 REGENT CIR, STATEN ISLAND, NY 10312-1726
(347) 216-0480
Mailing address
37 REGENT CIR, STATEN ISLAND, NY 10312-1726
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1375427
NY
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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