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Individual

MS. LEONA M PRIME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPED

Contact information

Practice address
5718 AVENUE N, BROOKLYN, NY 11234-4027
(347) 458-3192
Mailing address
5718 AVENUE N, BROOKLYN, NY 11234-4027
(347) 458-3192

Taxonomy

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

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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