Individual
MRS. DAYANA V DZHAKHNAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
454 AVENUE U STE 2, BROOKLYN, NY 11223-4032
(347) 921-3250
(347) 779-0433
Mailing address
454 AVENUE U STE 2, BROOKLYN, NY 11223-4032
(347) 921-3250
(347) 779-0433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225519835
NYS IDENTIFICATION CARD
NY
Enumeration date
07/23/2020
Last updated
07/23/2020
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