Raisa Mykho
Raisa Mykho is an Early Intervention Provider Agency in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
220 Richmond Hill RdStaten Island, NY 10314-5988
Phone: (718) 687-2678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1730843152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2021 |
| Last updated in NPPES | October 22, 2021 |
| Certification date | October 22, 2021 |
| Mailing address | 220 Richmond Hill Rd, Staten Island, NY 10314-5988 |
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