Individual
COLEEN PERRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 DARE RD, SELDEN, NY 11784-2006
(631) 848-8390
Mailing address
110 DARE RD, SELDEN, NY 11784-2006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/01/2019
Last updated
03/20/2020
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