Individual
MRS. DEBORAH LARA KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
146 RIVENDELL CT, MELVILLE, NY 11747-5334
(631) 423-2727
Mailing address
146 RIVENDELL CT, MELVILLE, NY 11747-5334
(631) 423-2727
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1206959
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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