Individual
CHARLENE DONNELLY-ANDROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 N NEW YORK DR, N MASSAPEQUA, NY 11758-1526
(516) 592-9989
Mailing address
1103 N NEW YORK DR, N MASSAPEQUA, NY 11758-1526
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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