Individual
NINECHINE DESIRE-CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S IN SPECIAL EDUCA
Contact information
Practice address
3 PETERS LN, SPRING VALLEY, NY 10977-3122
(786) 800-4476
Mailing address
3 PETERS LN, SPRING VALLEY, NY 10977-3122
(786) 800-4476
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1719137
NY
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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