Individual
MRS. IRINA BRAYLOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 ELWOOD AVE, STATEN ISLAND, NY 10314-6020
(917) 969-3814
Mailing address
59 ELWOOD AVE, STATEN ISLAND, NY 10314-6020
(917) 969-3814
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1700643231
NY
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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