Individual
MS. LAMIS BAOWAIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
680 OAK TREE RD, PALISADES, NY 10964-1532
(845) 359-8846
Mailing address
PO BOX 716, PALISADES, NY 10964-0716
(845) 359-8846
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2360578
NY
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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