Individual
TRUDI ANN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 S LONG BEACH AVE, FREEPORT, NY 11520-5514
(516) 642-7570
Mailing address
462 S LONG BEACH AVE, FREEPORT, NY 11520-5514
(516) 642-7570
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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