Individual
MRS. FLORA LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 AVENUE S, BROOKLYN, NY 11229-3322
(917) 359-2111
Mailing address
1300 AVENUE S, BROOKLYN, NY 11229-3322
(917) 359-2111
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
352716091
NY
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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