Individual
POLINA MOGRACHYOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
456 AVENUE V, GROUND FLOOR, BROOKLYN, NY 11223-4839
(347) 733-7380
Mailing address
456 AVENUE V, GROUND FLOOR, BROOKLYN, NY 11223-4839
(347) 733-7380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
Primary
1151826
NY
Other
Enumeration date
08/18/2011
Last updated
07/17/2012
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