Individual
LYNELEY MYRTHIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 HAWTHORNE ST, D12, BROOKLYN, NY 11225-5931
(347) 737-8852
Mailing address
245 HAWTHORNE ST, D12, BROOKLYN, NY 11225-5931
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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