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1134363807
SVETLANA FAYZIYEV
FLUSHING, NY
NPI
1134363807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 678433222)
Enumeration Date
2009-04-26
Last Update Date
2009-04-26
Business Address
Mrs. SVETLANA FAYZIYEV OTR/L
7525 153RD ST APARTMENT # 331
FLUSHING, NY 11367-3090
Phone number: 718-793-6382
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Mailing Address
Mrs. SVETLANA FAYZIYEV OTR/L
7525 153RD ST APARTMENT # 331
FLUSHING, NY 11367-3090
Phone number: 718-793-6382
Copy
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