Individual
CHRISTINE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL ED. TEACHER
Contact information
Practice address
255 EXECUTIVE DR STE LL, PLAINVIEW, NY 11803-1719
(516) 576-2040
Mailing address
138 NEW JERSEY AVE, BELLPORT, NY 11713-2136
(631) 219-3366
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
383290
NY
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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