Individual
MRS. KELLY B MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Mailing address
228 THORNTON CIR S, CAMILLUS, NY 13031-1419
(315) 433-1173
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/26/2012
Last updated
05/26/2012
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