Individual
LAURA SUSINO-PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2867 ROEBLING AVE, BRONX, NY 10461-5405
(646) 427-0924
Mailing address
2867 ROEBLING AVE, BRONX, NY 10461-5405
(646) 427-0924
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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