Individual
DESIREE MANZITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 ALDER DR, MASTIC BEACH, NY 11951-4006
(631) 281-1237
Mailing address
89 ALDER DR, MASTIC BEACH, NY 11951-4006
(631) 281-1237
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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