Individual
AVIGAIL MIRIAM YTSHAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
999 CENTRAL AVE STE 308, WOODMERE, NY 11598-1205
(516) 374-7914
Mailing address
1016 DICKENS ST, FAR ROCKAWAY, NY 11691-2407
(646) 421-0414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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