Individual
AVIGAYIL TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-3700
Mailing address
1620 AVENUE I APT 402, BROOKLYN, NY 11230-3034
(347) 463-3447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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