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Individual

MRS. NADEZHDA YAGUDAYEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7846 PARSONS BLVD APT 3, FLUSHING, NY 11366-1922
(917) 683-9818
Mailing address
7846 PARSONS BLVD APT 3, FLUSHING, NY 11366-1922
(917) 683-9818

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
WQ38470J
NY
Enumeration date
08/03/2011
Last updated
08/03/2011
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