Individual
CATHERINE VICITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2346 125TH ST, COLLEGE POINT, NY 11356-2622
(347) 306-6778
Mailing address
2346 125TH ST, COLLEGE POINT, NY 11356-2622
(347) 306-6778
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NY
Other
Enumeration date
03/15/2014
Last updated
03/15/2014
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