Individual
GLENDA RENEE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
97 REMSEN AVE, HEMPSTEAD, NY 11550-1819
(917) 476-2907
Mailing address
97 REMSEN AVE, HEMPSTEAD, NY 11550-1819
(917) 476-2907
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
002515-1
NY
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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