Individual
MRS. ELEONORA AMINOVA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
8911 63RD DR, 305, REGO PARK, NY 11374-3852
(347) 361-1934
Mailing address
8911 63RD DR, APT# 305 REGO PARK NY, REGO PARK, NY 11374-3852
(347) 361-1394
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
557481111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557481111
—
NY
Enumeration date
07/02/2012
Last updated
07/02/2012
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