Individual
MS. LAKISHA BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TERRACE AVE APT 303, HEMPSTEAD, NY 11550-2322
(516) 984-8351
Mailing address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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