Eleonora Yagudaev, Masters
Specialist in Woodmere, NY. Individual provider (NPI-1).
NPI number1629645262
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1629645262
- Entity type
- Individual (NPI-1)
- Name
- Eleonora Yagudaev
- Credential
- Masters
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1427227201 | NY | Yes |
Practice location
962 Peninsula BlvdWoodmere, NY 11598-1542
Phone 347-243-1097
Mailing address
962 Peninsula BlvdWoodmere, NY 11598-1542
Phone 347-243-1097
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