Individual
TONIANN DORME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 BAY 11TH ST, BROOKLYN, NY 11228-3909
(347) 628-4475
Mailing address
301 BAY 11TH ST, BROOKLYN, NY 11228-3909
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1111017
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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