Individual
IRLANDE CELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
500 BI COUNTY BLVD STE 114, FARMINGDALE, NY 11735-3931
(718) 264-1640
(718) 484-0530
Mailing address
500 BI COUNTY BLVD STE 114, FARMINGDALE, NY 11735-3931
(718) 264-1640
(718) 484-0530
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
843903
NY
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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