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1063947984
YANA BANNIKOVA
NEW YORK, NY
NPI
1063947984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
-- YANA BANNIKOVA CASAC-T
73 LENOX AVE
NEW YORK, NY 10026-3007
Phone number: 212-663-1596
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Mailing Address
-- YANA BANNIKOVA CASAC-T
73 LENOX AVE
NEW YORK, NY 10026-3007
Phone number: 212-663-1596
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