Individual
ALLA KACHALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. SP ED
Contact information
Practice address
3315 NOSTRAND AVE, APT 6H, BROOKLYN, NY 11229-3757
(347) 423-4687
Mailing address
3315 NOSTRAND AVE, APT 6H, BROOKLYN, NY 11229-3757
(347) 423-4687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1637189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
TEACHER
NY
Enumeration date
06/27/2012
Last updated
07/05/2012
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