Individual
MISS SHANI LAUREN STIMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2784 LEN DR, BELLMORE, NY 11710-5202
(516) 287-3473
Mailing address
2784 LEN DR, BELLMORE, NY 11710-5202
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619230356
KIDZ THERAPY
NY
Enumeration date
01/13/2013
Last updated
01/13/2013
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