Individual provider · Type 1 NPI
Antonina Yushuvayeva, MSED
Specialist · Fresh Meadows, NY
NPI number
1891058657
Active
Practice location
7150 160th St # 1F
Fresh Meadows, NY 11365-4126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1891058657
Antonina Yushuvayeva, MSED's National Provider Identifier is 1891058657, issued on Jun 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Nov 6, 2015.