Individual
CARMELLE THELAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11556 225TH ST, CAMBRIA HEIGHTS, NY 11411-1215
(404) 550-6758
Mailing address
11556 225TH ST, CAMBRIA HEIGHTS, NY 11411-1215
(404) 550-6758
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1758450232
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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