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Individual

LAUREN FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
20 REGINA RD, FARMINGDALE, NY 11735
(516) 680-7451
Mailing address
20 REGINA RD, FARMINGDALE, NY 11735-4422
(516) 680-7451

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
355720091
NY

Other

Enumeration date
08/28/2013
Last updated
08/28/2013
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