Individual
KELLY BIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15645 84TH ST, HOWARD BEACH, NY 11414-2645
(718) 738-1800
Mailing address
457 18TH ST, WEST BABYLON, NY 11704-2201
(631) 236-7644
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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