Individual
MAUREEN SARMIENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WINDCREST DR, MANORVILLE, NY 11949-2923
(631) 831-8702
Mailing address
14 WINDCREST DR, MANORVILLE, NY 11949-2923
(631) 831-8702
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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