Individual
JULIA KUSHMAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 AUSTIN ST, FOREST HILLS, NY 11375-4245
(718) 878-4099
Mailing address
6860 AUSTIN ST, FOREST HILLS, NY 11375-4245
(718) 878-4099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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