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Organization

DELORES BARONETTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DELORES BARONETTE MSW (SOCIAL WORK)
(516) 512-4618
Entity
Organization

Contact information

Practice address
197 ROSE ST, FREEPORT, NY 11520-4204
(516) 512-4518
Mailing address
197 ROSE ST, FREEPORT, NY 11520-4204
(516) 512-4518

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
070833-1
NY

Other

Enumeration date
04/24/2009
Last updated
04/24/2009
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