Individual
MS. CARA MARCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 CLYMER ST, PORT JEFFERSON STATION, NY 11776-3811
(631) 707-1121
Mailing address
59 CLYMER ST, PORT JEFFERSON STATION, NY 11776-3811
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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