Individual
MS. TATIANA GUREVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPED
Contact information
Practice address
23 MARLOW RD, VALLEY STREAM, NY 11580-3705
(516) 884-7742
Mailing address
1420 MEADOWBROOK RD, MERRICK, NY 11566-1955
(516) 223-2021
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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