Individual
MRS. MARINA YERUSLANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WESTLEY LN, NEW MILFORD, NJ 07646-3200
(201) 483-3407
Mailing address
1 WESTLEY LANE, NEW MILFORD, NJ 07646
(201) 483-3407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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