Individual
ERICA ANN RAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155-29 100TH ST, HOWARD BEACH, NY 11414-2813
(347) 720-5636
Mailing address
15533 100TH ST, HOWARD BEACH, NY 11414-2813
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/15/2012
Last updated
02/12/2018
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