Individual
MS. INNA TUIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 AVENUE U, BROOKLYN, NY 11223-4032
(347) 921-3250
Mailing address
454 AVENUE U, BROOKLYN, NY 11223-4032
(347) 921-3250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216324662
EMPLOYMENT AUTHORIZATION
NY
Enumeration date
08/11/2020
Last updated
08/11/2020
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