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Individual

AHUVA LIEBA HAFISOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
535 5TH AVE, NEW YORK, NY 10017-3620
(718) 948-1900
Mailing address
14048 69TH AVE, FLUSHING, NY 11367-1637

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NY

Other

Enumeration date
06/15/2026
Last updated
06/15/2026
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