Individual
CHARISSE LASOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTCHESTER AVE STE 300, PURCHASE, NY 10577-2554
(914) 328-2868
Mailing address
2700 WESTCHESTER AVE STE 300, PURCHASE, NY 10577-2554
(914) 328-2868
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009379-1
NY
Other
Enumeration date
04/08/2018
Last updated
04/08/2018
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