Individual
JOANNE CENTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 ALHAMBRA RD, MASSAPEQUA, NY 11758-6611
(631) 327-4198
Mailing address
139 ALHAMBRA RD, MASSAPEQUA, NY 11758-6611
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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