Individual
MS. PRISCILLA SHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 38TH ST, ASTORIA, NY 11103-4383
(347) 891-0520
Mailing address
2809 38TH ST, ASTORIA, NY 11103-4383
(347) 891-0520
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1111111
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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