Individual
SHIRLY ULFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 71ST AVE, FOREST HILLS, NY 11375-6704
(347) 551-2479
Mailing address
9119 71ST AVE, FOREST HILLS, NY 11375-6704
(347) 551-2479
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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