Individual
KELLY HARTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2528 E 64TH ST, BROOKLYN, NY 11234-6921
(347) 285-1101
Mailing address
2528 E 64TH ST, BROOKLYN, NY 11234-6921
(347) 285-1101
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
629329121
NY
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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