Organization
STELLA OBTUTUS OFFICIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YELIZAVETA ALIIEVA RN (PRESIDENT)
(917) 208-5350
Entity
Organization
Contact information
Practice address
1742 E 13TH ST APT 2, BROOKLYN, NY 11229-1943
(917) 208-5350
Mailing address
1742 E 13TH ST APT 2, BROOKLYN, NY 11229-1943
(917) 208-5350
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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