Individual
MRS. TRACEY ANN GUNTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
30 BEVERLY RD, WANTAGH, NY 11793-4519
(516) 826-5948
(516) 826-5948
Mailing address
30 BEVERLY RD, WANTAGH, NY 11793-4519
(516) 826-5948
(516) 826-5948
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1868884
NY
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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