Individual
LEONORA DAPONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 NASSAU LN, ISLAND PARK, NY 11558-1524
(516) 300-3828
Mailing address
14 NASSAU LN, ISLAND PARK, NY 11558-1524
(516) 300-3828
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
006331-1
NY
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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