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1316196173
YELENA HAFISOV
BROOKLYN, NY
NPI
1316196173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 014740-1)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
-- YELENA HAFISOV
1221 E 14TH ST
BROOKLYN, NY 11230-4803
Phone number: 718-434-4600
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Mailing Address
-- YELENA HAFISOV
1455 55TH ST APARTMENT 4D
BROOKLYN, NY 11219-4257
Phone number: 718-435-9472
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