Individual
MS. STELLA BABAKHANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(718) 899-9060
(718) 899-9061
Mailing address
8515 139TH ST, 7I, BRIARWOOD, NY 11435-2637
(718) 490-6785
(718) 899-9061
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014380-1
NY
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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