Individual
MADONA MAGALASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10540 62ND RD APT 5N, FOREST HILLS, NY 11375-1121
(917) 676-2610
Mailing address
10540 62ND RD APT 5N, FOREST HILLS, NY 11375-1121
(917) 676-2610
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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