Individual
BETH LAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED SBL
Contact information
Practice address
90 GLASCO TPKE, GLASCO, NY 12432-9800
(914) 772-6138
Mailing address
PO BOX 555, GLASCO, NY 12432-0555
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
849271
NY
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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