Individual
BELLA ISAKHAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9611 65TH RD, 501, REGO PARK, NY 11374-4158
(917) 650-3136
Mailing address
9611 65TH RD, 501, REGO PARK, NY 11374-4158
(917) 650-3136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019234-1
NY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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