Individual
RADA KHIYAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15010 79TH AVE APT 6A, FLUSHING QUEEENS, FLUSHING, NY 11367-3958
(917) 407-2297
Mailing address
15010 79TH AVE APT 6A, FLUSHING QUEEENS, FLUSHING, NY 11367-3958
(917) 407-2297
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
679252121
NY
Other
Enumeration date
10/14/2012
Last updated
10/14/2012
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