Individual
CARLY MICHELLE DOLGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,SPECIAL ED
Contact information
Practice address
210 19 26 AVE, BAYSIDE, NY 11360
(347) 408-4715
Mailing address
210 19 26 AVE, BAYSIDE, NY 11360
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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