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1255157855
SUSANNA ISAKOVA
FLUSHING, NY
NPI
1255157855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 3122065)
Enumeration Date
2024-11-27
Last Update Date
2024-11-27
Business Address
SUSANNA ISAKOVA
10856 65TH RD
FLUSHING, NY 11375-1843
Phone number: 917-514-0004
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Mailing Address
SUSANNA ISAKOVA
10856 65TH RD
FOREST HILLS, NY 11375-1843
Phone number: 917-514-0004
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