Individual
ANASTASIIA BYSTROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ECE (B-2ND G)
Contact information
Practice address
2483 W 16TH ST APT 2G, BROOKLYN, NY 11214-7019
(347) 500-2276
Mailing address
2483 W 16TH ST APT 2G, BROOKLYN, NY 11214-7019
(347) 500-2276
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1271696181
NY
Other
Enumeration date
05/07/2019
Last updated
05/09/2019
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