Individual
COURTNEY RUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 W MAIN ST, BABYLON, NY 11702-3425
(631) 482-8030
Mailing address
7 SHINNECOCK AVE, MASSAPEQUA, NY 11758-6716
(516) 655-0597
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125637
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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