Individual
MS. KYLE STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 PAULINE PL, EAST NORTHPORT, NY 11731-1135
(631) 262-0096
Mailing address
7 PAULINE PL, EAST NORTHPORT, NY 11731-1135
(631) 262-0096
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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