Individual
MRS. ANNA KLYACHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. ED.
Contact information
Practice address
1975 84TH ST, APT.A7, BROOKLYN, NY 11214-3065
(917) 696-7319
Mailing address
1975 84TH ST, APT.A7, BROOKLYN, NY 11214-3065
(917) 696-7319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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