Individual
SVETLANA MULLOKANDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6544 SAUNDERS ST APT D1, REGO PARK, REGO PARK, NY 11374-4208
(347) 345-5872
Mailing address
6544 SAUNDERS ST APT D1, REGO PARK, REGO PARK, NY 11374-4208
(347) 345-5872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004930-1
NY
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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