Individual
MS. KELLY E FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
120 N BROADWAY, APT 3D, IRVINGTON, NY 10533-1239
(914) 760-7929
Mailing address
120 N BROADWAY, APT 3D, IRVINGTON, NY 10533-1239
(914) 760-7929
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
868844
NY
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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