Individual
STACY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5807 66TH ST, MASPETH, NY 11378-2828
(718) 894-9052
Mailing address
5807 66TH ST, MASPETH, NY 11378-2828
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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