Individual
ANNA RYBALNIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1347 E 14TH ST, BROOKLYN, NY 11230-5901
(917) 939-7801
Mailing address
1347 E 14TH ST, BROOKLYN, NY 11230-5901
(917) 939-7801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/25/2014
Last updated
08/14/2014
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