Individual
ELGAR YUSHVAEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 AVENUE Z, APT# 4C, BROOKLYN, NY 11223-6252
(917) 421-2115
Mailing address
675 AVENUE Z, APT# 4C, BROOKLYN, NY 11223-6252
(917) 421-2115
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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