Individual
MAYSARA MUROTOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W 12TH ST, BROOKLYN, NY 11223-1145
(646) 844-0409
Mailing address
1725 W 12TH ST, BROOKLYN, NY 11223-1145
(646) 844-0409
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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