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1245928811
YEVGENIYA PETRUSHINA
BROOKLYN, NY
NPI
1245928811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 1701896231)
Enumeration Date
2023-05-01
Last Update Date
2023-05-08
Business Address
YEVGENIYA PETRUSHINA MSED
1771 E 31ST ST
BROOKLYN, NY 11234-4437
Phone number: 917-667-4358
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Mailing Address
YEVGENIYA PETRUSHINA MSED
1771 E 31ST ST
BROOKLYN, NY 11234-4437
Phone number: 917-667-4358
Copy
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