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Organization

INDIVIDUALIZED FAMILY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOCHEVED POLISHUK MS (OWNER/PRACTICE MANAGER)
(347) 369-2733
Entity
Organization

Contact information

Practice address
12-22 30TH AVE, APT 4H, ASTORIA, NY 11102
(347) 369-2733
Mailing address
12-22 30TH AVE, 4 H, ASTORIA, NY 11102
(347) 369-2733

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/19/2016
Last updated
06/20/2016
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