Individual
MICHAEL JOHN D'ARIENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 GRANT AVE, ISLIP, NY 11751-3504
(631) 682-9462
Mailing address
69 GRANT AVE, ISLIP, NY 11751-3504
(631) 682-9462
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1096092
NY
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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