Individual
MRS. TIINA LY SALMRE-JOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 SHORE RD, PORT WASHINGTON, NY 11050-2751
(516) 883-1724
Mailing address
21 SHORE RD, PORT WASHINGTON, NY 11050-2751
(516) 883-1724
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
132560021
NY
252Y00000X
Early Intervention Provider Agency
Primary
989878001
NY
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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