Individual
MS. SHRUTI DARSHINI DYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED; SPED
Contact information
Practice address
1428 MOTT AVE, FAR ROCKAWAY, NY 11691-5108
(917) 544-0744
(718) 327-3539
Mailing address
1428 MOTT AVE, FAR ROCKAWAY, NY 11691-5108
(917) 544-0744
(718) 327-3539
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
592307
NY
Other
Enumeration date
05/15/2018
Last updated
06/16/2018
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