Individual
NADEZHDA YUKHANANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10421 68TH DR APT B55, FOREST HILLS, NY 11375-3446
(917) 660-6595
Mailing address
10421 68TH DR APT B55, FOREST HILLS, NY 11375-3446
(917) 660-6595
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3620255
NY
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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