Individual
MRS. ANTONELLA ZIMMERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
453 S BROADWAY, LINDENHURST, NY 11757-4720
(631) 335-5224
Mailing address
453 S BROADWAY, LINDENHURST, NY 11757-4720
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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