Individual
ZAIRE YURALIS PENA ESPINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 575-8474
Mailing address
122 3RD AVE, BRENTWOOD, NY 11717-4615
(631) 575-8474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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