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Yael Lee Guevara

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

NPI number1699485649
StatusActive
Last updated in NPPESNov 30, 2022

Details

NPI
1699485649
Entity type
Individual (NPI-1)
Name
Yael Lee Guevara
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 30, 2022
Certification date
Nov 30, 2022
Last updated
Nov 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Practice location

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Phone 718-762-7633

Mailing address

2039 Linden St
Ridgewood, NY 11385-2438

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