Individual
CASSANDRA MOUSSIGNAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPED
Contact information
Practice address
257- 36 148TH AVE, ROSEDALE, NY 11422
(718) 809-8311
Mailing address
25736 148TH AVE, ROSEDALE, NY 11422-2914
(718) 809-8311
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
879335
NY
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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