Individual
MISS OLGA TREGUBOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
(718) 457-3932
Mailing address
8406 109TH ST APT 2C, RICHMOND HILL, NY 11418-1240
(718) 441-4406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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