Individual
ANNA ALICIA TERYEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SZYMANSKI DR, SPOTSWOOD, NJ 08884-1074
(917) 903-0821
Mailing address
85 SZYMANSKI DR, SPOTSWOOD, NJ 08884-1074
(917) 903-0821
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
936920151
NY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
936920151
NY
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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