Individual
MAUREEN ELIZABETH DE ROZIERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 HILLTOP LN, MANORVILLE, NY 11949-2937
(631) 655-1928
Mailing address
20 HILLTOP LN, MANORVILLE, NY 11949-2937
(631) 655-1928
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1579373221
NY
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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