Individual
MRS. JOANNE CLAIRE BASES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 CYGNET LN, VALLEY COTTAGE, NY 10989-1401
(845) 494-0191
Mailing address
7 CYGNET LN, VALLEY COTTAGE, NY 10989-1401
(845) 494-0191
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
423280921
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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