Individual
NATALIYA DAVITADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 E 12TH ST APT 5, BROOKLYN, NY 11230-7280
(646) 289-2711
Mailing address
1546 E 12TH ST APT 5, BROOKLYN, NY 11230-7280
(646) 289-2711
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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