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Individual

MERVAT ELLABBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NYS TEACHER

Contact information

Practice address
2417 88TH ST, EAST ELMHURST, NY 11369-1007
(646) 492-0207
Mailing address
2417 88TH ST, EAST ELMHURST, NY 11369-1007
(646) 492-0207

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1948470251
NY

Other

Enumeration date
10/11/2025
Last updated
10/11/2025
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