Individual
WILDA ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 PLUNKETT ST, BRENTWOOD, NY 11717-7008
(516) 769-9978
Mailing address
178 PLUNKETT ST, BRENTWOOD, NY 11717-7008
(516) 769-9978
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0915351
NY
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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