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Individual

COLLEEN MULCAHY-LADYZHINSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSE

Contact information

Practice address
187 GUYON AVE, STATEN ISLAND, NY 10306-3947
(347) 539-2425
(718) 351-4222
Mailing address
187 GUYON AVE, STATEN ISLAND, NY 10306-3947
(347) 539-2425
(718) 351-4222

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NY

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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