Individual
ROBIN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 W 20TH ST, DEER PARK, NY 11729-4802
(516) 508-8206
Mailing address
174 W 20TH ST, DEER PARK, NY 11729-4802
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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