Individual
KRISTEN MAYHEW-GINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 LIVINGSTON AVE, BABYLON, NY 11702
(631) 926-4709
Mailing address
152 LIVINGSTON AVE, BABYLON, NY 11702-1614
(631) 926-4709
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/20/2015
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