Individual
NATALIA KONOVALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2571 E 17TH ST, BROOKLYN, NY 11235-3585
(718) 412-9777
Mailing address
2202 BURNETT ST FL 2, BROOKLYN, NY 11229-5808
(718) 753-6911
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
3257828
NY
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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