Individual
MRS. IZABELLA MARCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SE ABA
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1979643
NY
Other
Enumeration date
10/12/2012
Last updated
12/17/2015
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