Individual
LILYA POPOVETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPED
Contact information
Practice address
445 BROADHOLLOW RD, SUITE 25, MELVILLE, NY 11747-3669
(516) 730-5001
Mailing address
445 BROADHOLLOW RD, SUITE 25, MELVILLE, NY 11747-3669
(516) 730-5001
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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