Alina Fedorov
NPI #1205443744 in Staten Island, New York
Provider Information
- NPI Number
- 1205443744
- Entity Type
- Individual
- Name
- Alina Fedorov
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 29, 2020
- Last Updated
- Sep 29, 2020
Practice Location
- Address
- 457 ADAMS AVE
- City
- Staten Island
- State
- New York
- ZIP Code
- 10306-5422
- Phone
- (347) 631-5441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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