Individual
LAPORSCHA CICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 BEACH 61ST ST, ARVERNE, NY 11692-1854
(347) 906-4401
Mailing address
152 BEACH 61ST ST, ARVERNE, NY 11692-1854
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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