Individual
LYSA MARIE HOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 STEVENS AVE, NORTH MERRICK, NY 11566-2837
(516) 379-0824
Mailing address
1671 STEVENS AVE, NORTH MERRICK, NY 11566-2837
(516) 379-0824
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
855210
NY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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