Individual
MRS. DIANA NIZHNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
(718) 441-0155
(347) 571-6606
Mailing address
2520 BATCHELDER ST, APT. 1L, BROOKLYN, NY 11235-1553
(917) 589-4379
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
373493
NY
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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