Individual
STEFANIE BUCCELLATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 SLEEPY HOLLOW DR, SHIRLEY, NY 11967-1251
(631) 834-5431
Mailing address
434 SLEEPY HOLLOW DR, SHIRLEY, NY 11967-1251
(631) 834-5431
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
09/07/2021
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