Individual
ROZALINA YAKUBOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1462 MOFFITT AVE, HEWLETT, NY 11557-1516
(646) 707-1160
Mailing address
1462 MOFFITT AVE, HEWLETT, NY 11557-1516
(646) 707-1160
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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