Individual
FATIMAT KITOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
648 CRAWFORD AVE FL 1, BROOKLYN, NY 11223-5443
(973) 689-4128
Mailing address
648 CRAWFORD AVE FL 1, BROOKLYN, NY 11223-5443
(973) 689-4128
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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