Individual
LAURA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 RIVERDALE AVE # 1A, BRONX, NY 10471-1032
(718) 701-4807
Mailing address
33 NASSAU LN, ISLAND PARK, NY 11558-1503
(516) 983-7265
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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