Individual
MRS. ANNE MARIE MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
165 SMITH ST, MASSAPEQUA PARK, NY 11762-2041
(516) 541-2828
Mailing address
165 SMITH ST, MASSAPEQUA PARK, NY 11762-2041
(516) 541-2828
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1929660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
SPECIAL EDUCATION TEACHER
—
Enumeration date
07/09/2012
Last updated
07/09/2012
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