Individual
YANIV SHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
Mailing address
11 STRATFORD AVE, APT 1A, STATEN ISLAND, NY 10301-3852
(917) 941-9037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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