Individual
MRS. ELEANORA SULTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOE
Contact information
Practice address
96 ORMSBY AVE, STATEN ISLAND, NY 10309-4018
(347) 500-1954
Mailing address
96 ORMSBY AVE, STATEN ISLAND, NY 10309-4018
(347) 500-1954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1845255241
NY
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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