Individual
MS. PAULA MORDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
325 MALLARD RD, CARLE PLACE, NY 11514-2019
(516) 456-6162
Mailing address
325 MALLARD RD, CARLE PLACE, NY 11514-2019
(516) 456-6162
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2601297
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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