Individual
BERTA BABAISAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 998-1415
Mailing address
6336 99TH ST APT 7D, REGO PARK, NY 11374-1990
(347) 372-9743
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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