Individual
MRS. INESSA LATYPOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 OCEAN PKWY, APT 8 E, BROOKLYN, NY 11235-7960
(718) 434-1510
Mailing address
2840 OCEAN PKWY, APT 8 E, BROOKLYN, NY 11235-7960
(718) 434-1510
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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