Organization
LITTLE EXPRESSIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA YAGUDAYEVA (SPEECH AND LANGUAGE PATHOLOGIST)
(646) 436-8598
Entity
Organization
Contact information
Practice address
14421 75TH RD, FLUSHING, NY 11367-2416
(646) 436-8598
Mailing address
14421 75TH RD, FLUSHING, NY 11367-2416
(646) 436-8598
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03685458
—
NY
Enumeration date
07/19/2016
Last updated
07/19/2016
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