Individual
KRISTIN LANDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6008 77TH PL, MIDDLE VILLAGE, NY 11379-5243
(609) 665-5747
Mailing address
6008 77TH PL, MIDDLE VILLAGE, NY 11379-5243
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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