Individual
ERICA LEE MAILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
97 PAQUATUCK AVE, EAST MORICHES, NY 11940-1206
(631) 678-5097
Mailing address
97 PAQUATUCK AVE, EAST MORICHES, NY 11940-1206
(631) 678-5097
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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