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1861115339
AVITAL YUSHUVAEV
STATEN ISLAND, NY
NPI
1861115339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
AVITAL YUSHUVAEV
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 718-608-9170
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Mailing Address
AVITAL YUSHUVAEV
6260 108TH ST APT 3G
FOREST HILLS, NY 11375-1302
Phone number: 347-248-9049
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