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Individual

YAEL DAVATGARZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-3700
Mailing address
1577 E 21ST ST, BROOKLYN, NY 11210-5049
(347) 517-6658

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021576-1
NY

Other

Enumeration date
07/03/2017
Last updated
07/03/2017
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