Individual
CHERYLANN DIGIANNURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 PHIPPS CT, YAPHANK, NY 11980-2053
(631) 433-9143
Mailing address
820 PHIPPS CT, YAPHANK, NY 11980-2053
(631) 433-9143
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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