Individual
MRS. CASSIDY ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
535 BROADHOLLOW RD, MELVILLE, NY 11747-3713
(516) 306-5000
Mailing address
3040 SHORE RD, BELLMORE, NY 11710-4831
(516) 306-5000
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002934
NY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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