Individual
IRINA DZHAVAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. EDUCATION
Contact information
Practice address
14434 76TH AVE FL 1, FLUSHING, NY 11367-3116
(347) 644-5954
Mailing address
14434 76TH AVE FL 1, FLUSHING, NY 11367-3116
(347) 644-5954
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
776557131
NY
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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