Individual
KATHRYN YAGUDAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9745 63RD DR, REGO PARK, NY 11374-3340
(718) 830-3859
Mailing address
10205 63RD DR, FOREST HILLS, NY 11375-1541
(347) 860-3245
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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