Individual
MS. KELLY ELLEN YEVOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
8623 79TH ST, WOODHAVEN, NY 11421-1103
(347) 437-1164
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
603123577
NY
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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