Individual
BRENDAMARIS CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
4 ALDEN AVE, VALLEY STREAM, NY 11580-1002
(917) 860-3691
Mailing address
12116 POWELLS COVE BLVD APT B, COLLEGE POINT, NY 11356-1297
(917) 860-3691
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
252Y00000X
NY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
10/06/2020
Last updated
10/21/2020
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