Individual
YEKATERINA SHANGINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.I., SEIT
Contact information
Practice address
2928 W 5TH ST APT 10E, BROOKLYN, NY 11224-3946
(347) 645-1895
Mailing address
2928 W 5TH ST APT 10E, BROOKLYN, NY 11224-3946
(347) 645-1895
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
433130101
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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