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Individual

KANESSA RAMDEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
PO BOX 7394, FREEPORT, NY 11520-0757
(929) 251-0022

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1729768231
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1729768231
SCHOOL PSYCHOLOGIST, PROVISIONAL CERTIFICATE
NY
Enumeration date
01/10/2024
Last updated
01/10/2024
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