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Yevgeniya Petrushina, MSED

Early Intervention Provider Agency in Brooklyn, NY. Individual provider (NPI-1).

NPI number1245928811
StatusActive
Last updated in NPPESMay 8, 2023

Details

NPI
1245928811
Entity type
Individual (NPI-1)
Name
Yevgeniya Petrushina
Credential
MSED
Sex
Female
Sole proprietor
Yes
Enumeration date
May 1, 2023
Certification date
May 8, 2023
Last updated
May 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency1701896231NYYes

Practice location

1771 E 31st St
Brooklyn, NY 11234-4437

Phone 917-667-4358

Mailing address

1771 E 31st St
Brooklyn, NY 11234-4437

Phone 917-667-4358

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