Individual
DANIELLE KINSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 EDGEGROVE AVENUE, STATEN ISLAND, NY 10309
(718) 356-3342
Mailing address
1007 EDGEGROVE AVE, STATEN ISLAND, NY 10309-2204
(718) 356-3342
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
988466151
NY
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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