Individual
MRS. MARYANN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S SP. ED.
Contact information
Practice address
94 LOCUST PL, EAST NORTHPORT, NY 11731-1491
(631) 754-4556
Mailing address
2540 NEW YORK AVE, MELVILLE, NY 11747-1535
(631) 678-3596
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/15/2009
Last updated
04/26/2018
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