Individual
TERESA ELISABETH WISZOWATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 BEECH ST, FLORAL PARK, NY 11001-3102
(347) 468-6520
Mailing address
61 BEECH ST, FLORAL PARK, NY 11001-3102
(347) 468-6520
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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