Individual
ALEXANDRA GADAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 94TH ST, FLUSHING, NY 11373
(718) 271-1021
Mailing address
63109 SAUNDERS ST APT A13, REGO PARK, NY 11374-3128
(917) 584-8618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023234
NY
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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