Individual
DEENA MARIE SEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 AUDREY LN, CENTEREACH, NY 11720-3846
(631) 617-9979
Mailing address
3 AUDREY LN, CENTEREACH, NY 11720-3846
(631) 617-9979
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1408782
NY
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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