Individual
ELIZABETH BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131A CHICAGO AVE, MASSAPEQUA, NY 11758-4639
(516) 987-6871
Mailing address
131A CHICAGO AVE, MASSAPEQUA, NY 11758-4639
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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