Individual
STEPHANIE IANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 FAIRWAY RD, FRANKLIN SQUARE, NY 11010-1706
(516) 547-1140
Mailing address
1018 FAIRWAY RD, FRANKLIN SQUARE, NY 11010-1706
(516) 547-1140
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
818308
NY
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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