Individual
MRS. CAROLINE LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8941 AUBREY AVE, GLENDALE, GLENDALE, NY 11385-7929
(347) 836-3892
Mailing address
8941 AUBREY AVE, GLENDALE, GLENDALE, NY 11385-7929
(347) 836-3892
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
949146151
NY
252Y00000X
Early Intervention Provider Agency
949146151
NY
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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