Individual
KAYSHRI KUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 PERSHING AVE, VALLEY STREAM, NY 11581-2910
(646) 645-6610
Mailing address
54 PERSHING AVE, VALLEY STREAM, NY 11581-2910
(646) 645-6610
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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