Individual
CHARLENE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. SPECIAL EDUCATI
Contact information
Practice address
183 WASHINGTON AVE, PATCHOGUE, NY 11772-2756
(631) 487-9946
Mailing address
183 WASHINGTON AVE, PATCHOGUE, NY 11772-2756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
877753
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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