Individual
KAREN BUKHATETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 E 63RD ST, BROOKLYN, NY 11234-6813
(917) 828-0712
Mailing address
2741 E 63RD ST, BROOKLYN, NY 11234-6813
(917) 828-0712
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2164389
NY
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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