Individual
MICHELLE MARIE MINGOIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1348 WILLOUGHBY AVE APT 1R, BROOKLYN, NY 11237-3015
(516) 567-3483
Mailing address
1348 WILLOUGHBY AVE APT 1R, BROOKLYN, NY 11237-3015
(516) 567-3483
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1060027
NY
Other
Enumeration date
06/07/2018
Last updated
11/28/2023
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