Individual
KRISTIN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 SHORE RD, LONG BEACH, NY 11561-4538
(516) 305-0974
Mailing address
513 SHORE RD, LONG BEACH, NY 11561-4538
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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