Individual
DAMIRA SHAKIROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 E 14TH ST APT 5C, BROOKLYN, NY 11230-7139
(718) 288-4612
Mailing address
1585 E 14TH ST APT 5C, BROOKLYN, NY 11230-7139
(718) 288-4612
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1558542211
NY
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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