Individual
RACHAEL KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 ACACIA RD, KINGS PARK, NY 11754-2403
(631) 804-6920
Mailing address
85 ACACIA RD, KINGS PARK, NY 11754-2403
(631) 804-6920
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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