Individual
POLINA BYALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 W 12TH ST APT 7L, BROOKLYN, NY 11224-3120
(347) 679-4945
Mailing address
2825 W 12TH ST APT 7L, BROOKLYN, NY 11224-3120
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1129760171
NY
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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