Individual
CATTREYA WONGCHAMNONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
468 CARLTON AVE # 3, BROOKLYN, NY 11238-2104
(617) 435-4219
Mailing address
468 CARLTON AVE # 3, BROOKLYN, NY 11238-2104
(617) 435-4219
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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