Individual
KIM SPRINGSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1000
Mailing address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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