Individual
SARA STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
255 EXECUTIVE DRIVE, SUITE LL 105, PLAINVIEW, NY 11803
(516) 576-2040
Mailing address
22-33 29TH STREET, ASTORIA, NY 11105
(516) 643-2341
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1868932
NY
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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