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1053892430
KSENIA SHUSHERINA
FOREST HILLS, NY
NPI
1053892430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
252Y00000X Early Intervention Provider Agency
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
KSENIA SHUSHERINA
7000 AUSTIN ST
FOREST HILLS, NY 11375
Phone number: 917-549-9999
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Mailing Address
KSENIA SHUSHERINA
7000 AUSTIN ST
FOREST HILLS, NY 11375-1022
Phone number: 917-549-9999
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