Individual
ZINAIDA RAFAILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14743 73RD AVE APT 3H, FLUSHING, NY 11367-2946
(917) 346-3162
Mailing address
14743 73RD AVE APT 3H, FLUSHING, NY 11367-2946
(917) 346-3162
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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