Individual
SVETLANA BABAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
273 BREVOORT ST, KEW GARDENS, NY 11415-2646
(347) 757-7092
Mailing address
273 BREVOORT ST, KEW GARDENS, NY 11415-2646
(347) 757-7092
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
006843-1
NY
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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