Individual
CHOON LEE WOOLEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8534 60TH DR, MIDDLE VILLAGE, NY 11379-5432
(718) 440-1556
Mailing address
8534 60TH DR, MIDDLE VILLAGE, NY 11379-5432
(718) 440-1556
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
50287061
NY
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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