Individual
CAREN MICHELLE COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 GRAND AVE, APT V1, NORTH BALDWIN, NY 11510-1885
(516) 377-5670
Mailing address
1600 GRAND AVE, APT V1, NORTH BALDWIN, NY 11510-1885
(516) 377-5670
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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