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Individual

ALYSSA BROOKE MERKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3779 SARAH DR, WANTAGH, NY 11793-1638
(516) 225-5735
Mailing address
3779 SARAH DR, WANTAGH, NY 11793-1638
(516) 225-5735

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/31/2018
Last updated
01/31/2018
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