Individual
KRISTEN DAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BI COUNTY BLVD, SUITE 114, FARMINGDALE, NY 11735-3988
(516) 753-6507
Mailing address
8 GLEN RD, WEST HEMPSTEAD, NY 11552-4127
(516) 536-1872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2398635
NY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2398635
NY
Other
Enumeration date
07/22/2013
Last updated
05/09/2014
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