Individual
NANCY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 BLUE POINT AVE, BLUE POINT, NY 11715-1261
(631) 363-5794
Mailing address
58 SHERMAN AVE, BETHPAGE, NY 11714-2422
(516) 749-2430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
354364
NY
Other
Enumeration date
07/15/2024
Last updated
07/22/2024
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