Individual
ANTOINETTE VINCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
56 FLORENCE AVE, BROOKLYN, NY 11229-5913
(646) 996-3354
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
590497781
NY
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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