Individual
ELIZABETH A LAGADINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 GLEN HOLLOW DR, PORT JEFFERSON STATION, NY 11776-3522
(631) 764-5016
Mailing address
113 GLEN HOLLOW DR, PORT JEFFERSON STATION, NY 11776-3522
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NY
Other
Enumeration date
03/09/2007
Last updated
07/26/2007
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