Individual
EUGENIA FICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 27TH AVE, APT. 318, LONG ISLAND CITY, NY 11102-3920
(347) 447-4122
Mailing address
810 27TH AVE, APT. 318, LONG ISLAND CITY, NY 11102-3920
(347) 447-4122
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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