Individual
LINDA WILKEN-DELREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10206 101ST AVE, OZONE PARK, NY 11416-2622
(347) 684-8087
Mailing address
10206 101ST AVE, OZONE PARK, NY 11416-2622
(347) 684-8087
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
665302121
NY
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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