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1407379050
YELENA BADALOV
STATEN ISLAND, NY
NPI
1407379050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 019375)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
YELENA BADALOV
962 MANOR RD
STATEN ISLAND, NY 10314-7011
Phone number: 718-982-5944
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Mailing Address
YELENA BADALOV
35 BRUNO LN
STATEN ISLAND, NY 10307-2227
Phone number:
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