Individual
MS. KATHLEEN A MOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 BOUNDARY AVE FL 1, STATEN ISLAND, NY 10306-5036
(917) 882-3575
Mailing address
318 BOUNDARY AVE FL 1, STATEN ISLAND, NY 10306-5036
(917) 882-3575
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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