Individual
MISS ITA ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ALGONQUIN CIR, AIRMONT, NY 10952-5231
(848) 525-2653
Mailing address
1 ALGONQUIN CIR, AIRMONT, NY 10952-5231
(848) 525-2653
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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