Individual
MRS. ELENA MULLOKANDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. ED
Contact information
Practice address
2625 E 14TH ST STE 200, BROOKLYN, NY 11235-3973
(718) 769-2698
Mailing address
9947 62ND RD FL 2, REGO PARK, NY 11374-1474
(347) 499-2550
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1390708
NY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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