Individual
DIANE SKLOVSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
11 KINGS PL APT 5A, BROOKLYN, NY 11223-2765
(917) 968-4591
Mailing address
11 KINGS PL APT 5A, BROOKLYN, NY 11223-2765
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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