Individual
MS. MARILYN DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 OLD TOWN LN, HALESITE, NY 11743-2219
(516) 297-0598
Mailing address
71 OLD TOWN LN, HALESITE, NY 11743-2219
(516) 297-0598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7600
NY
174400000X
Specialist
—
NY
Other
Enumeration date
06/18/2012
Last updated
07/21/2022
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