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1609184860
MARINA POLYAKOVA
VALLEY STREAM, NY
NPI
1609184860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 019918-1)
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
-- MARINA POLYAKOVA M.A,, CCC-SLP
781 PARK LANE
VALLEY STREAM, NY 11581
Phone number: 917-439-8048
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Mailing Address
-- MARINA POLYAKOVA M.A,, CCC-SLP
781 PARK LN
VALLEY STREAM, NY 11581-3640
Phone number: 917-439-8048
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