SVETLANA FAYZIYEV

FLUSHING, NY
NPI1134363807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: NY  678433222)
Enumeration Date2009-04-26
Last Update Date2009-04-26
Business Address
Mrs. SVETLANA FAYZIYEV OTR/L
7525 153RD ST APARTMENT # 331
FLUSHING, NY 11367-3090
Phone number: 718-793-6382
Mailing Address
Mrs. SVETLANA FAYZIYEV OTR/L
7525 153RD ST APARTMENT # 331
FLUSHING, NY 11367-3090
Phone number: 718-793-6382
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