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Organization

LISA MENNELLA CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA MARGARET MENNELLA MS (TEACHER OF THE BLIND & V.I.)
(917) 658-1555
Entity
Organization

Contact information

Practice address
459 COLUMBUS AVE, #164, NEW YORK, NY 10024-5129
(917) 658-1555
Mailing address
459 COLUMBUS AVE, #164, NEW YORK, NY 10024-5129

Taxonomy

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

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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