Individual
MRS. KIM LISA WINNEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
8 UNIVERSITY PL, EAST NORTHPORT, NY 11731-1942
(631) 262-7925
Mailing address
8 UNIVERSITY PL, EAST NORTHPORT, NY 11731-1942
(631) 262-7925
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NY
Other
Enumeration date
02/07/2007
Last updated
07/25/2007
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