Individual
MARIA MANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 PALISADE AVE, YONKERS, NY 10703-1519
(914) 330-4058
Mailing address
805 PALISADE AVE, YONKERS, NY 10703-1519
(914) 330-4058
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
TEACHER
NY
Enumeration date
07/30/2012
Last updated
09/27/2016
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