Individual
MISS ORIT DAVIDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. TRANSITIONAL B
Contact information
Practice address
14766 77TH AVE, FLUSHING, NY 11367-3124
(718) 969-6535
Mailing address
147-66 77AVE, FLUSHING, NY 11367
(718) 969-6535
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
680793121
NY
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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