Individual
ELINA MORDUHAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33-08 74TH ST, JACKSON HEIGHTS, NY 11372
(347) 123-4567
Mailing address
33-08 74TH ST, JACKSON HEIGHTS, NY 11372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/15/2022
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