Individual
TANIA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 MAIN ST, #1, NORTHPORT, NY 11768, NORTHPORT, NY 11768
(646) 201-6196
Mailing address
130 MAIN ST STE 1, NORTHPORT, NY 11768-1788
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1316469
NY
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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