Individual
MELISSA SOTOMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 QUEENS BLVD STE 4A5TH, FOREST HILLS, NY 11375-4748
(929) 497-5508
(888) 975-7704
Mailing address
171 ROCKAWAY AVE APT 201, BROOKLYN, NY 11233-3237
(929) 497-5508
(888) 975-7704
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256260
EARLY INTERVENTION PROGRAM
NY
Enumeration date
12/28/2020
Last updated
12/28/2020
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