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1689927972
ELGAR YUSHVAEV
BROOKLYN, NY
NPI
1689927972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2012-10-24
Last Update Date
2012-10-24
Business Address
-- ELGAR YUSHVAEV
675 AVENUE Z APT# 4C
BROOKLYN, NY 11223-6252
Phone number: 917-421-2115
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Mailing Address
-- ELGAR YUSHVAEV
675 AVENUE Z APT# 4C
BROOKLYN, NY 11223-6252
Phone number: 917-421-2115
Copy
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