Most Relevant Information
Provider Data
| NPI Number: | 1003327800 |
| Provider Name: | MARINA G MISHIYEVA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 024431 |
Most Important Dates
| Enumeration Date: | 10/19/2017 |
| Last Updated: | 02/01/2018 |
Provider Practice Location
1110 2ND AVENUE
SUITE 302
NEW YORK
NY
10022
Practice Location Phone/Fax
| Phone: | 2128420080 |
| Fax: | 9175918494 |
Provider Mailing Location
4220 24TH ST
APT 6B
LONG ISLAND CITY
NY
111014627
Provider Mailing Phone/Fax
| Phone: | 2128420080 |
| Fax: | 9175918494 |