Individual
MARIE G WINOGRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8479 AUSTIN ST, KEW GARDENS, NY 11415-2207
(718) 847-8434
Mailing address
8479 AUSTIN ST, KEW GARDENS, NY 11415-2207
(718) 847-8434
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
005288
NY
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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