Individual
MRS. ANDREA M. PERSICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
44 WESTERN AVE, RAVENA, NY 12143-1415
(518) 461-6070
Mailing address
44 WESTERN AVE, RAVENA, NY 12143-1415
(518) 461-6070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
561815941
NY
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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