Individual
MRS. VALERIE JEANNE MONACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
947 MAPLE ST, BOHEMIA, NY 11716-4205
(631) 521-0017
Mailing address
947 MAPLE STREET, BOHEMIA, NY 11716
(631) 521-0017
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
293371
NY
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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