Individual
ANDREA VERIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SCOUTING BLVD, MEDFORD, NY 11763-2220
(631) 297-3202
Mailing address
42 WESTBURY ST, EAST ISLIP, NY 11730-1450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
638325121
NY
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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