Individual
ALENA SIYUNOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
10860 66TH AVENUE, # B, FOREST HILLS, NY 11375-2242
(718) 724-4883
(718) 530-6613
Mailing address
10860 66TH AVE # B, FOREST HILLS, NY 11375-2242
(718) 724-4883
(718) 530-6613
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2295133
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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