Individual
IVONNE A CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
380 ASTOR DR, SAYVILLE, NY 11782-2039
(631) 563-2671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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