Individual
MISS MARTIKA MONDESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
14615 225TH ST, SPRINGFIELD GARDENS, NY 11413-3842
(646) 287-7949
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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