Individual
ALINA CHULPAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17805 JEWEL AVE, FRESH MEADOWS, NY 11365-3456
(929) 328-5347
Mailing address
17805 JEWEL AVE, FRESH MEADOWS, NY 11365-3456
(929) 328-5347
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1879609251
NY
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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