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1184124471
MIRA ISAKOVA
BROOKLYN, NY
NPI
1184124471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 220810)
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
MIRA ISAKOVA
1615 AVENUE I APT 522
BROOKLYN, NY 11230-3011
Phone number: 917-692-5152
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Mailing Address
MIRA ISAKOVA
1615 AVENUE I APT 522
BROOKLYN, NY 11230-3011
Phone number: 917-692-5152
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