Individual
MS. KRISTEN BORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W JERICHO TPKE, HUNTINGTON, NY 11743-6336
(631) 421-3518
Mailing address
145 HIDDEN PONDS CIR, SMITHTOWN, NY 11787-5234
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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