Individual
MRS. IRIS A MILITZOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HARVARD DR, PLAINVIEW, NY 11803-1810
(516) 367-2912
Mailing address
200 HARVARD DR, PLAINVIEW, NY 11803-1810
(516) 367-2912
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
661752
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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