Individual
YEVGENY GINZBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 HAMILTON AVE APT 4A, STATEN ISLAND, NY 10301-1820
(718) 207-1874
(718) 448-5668
Mailing address
36 HAMILTON AVE APT 4A, STATEN ISLAND, NY 10301-1820
(718) 207-1874
(718) 448-5668
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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