Individual
KAMILAH VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 590-7576
Mailing address
5 HILLSIDE AVE, FREEPORT, NY 11520-1701
(516) 578-7238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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