Individual
PAMELA SANDRA MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 NESCONSET HWY STE 202, LAKE GROVE, NY 11755-1000
(631) 201-2000
Mailing address
667 HIGH ST, PORT JEFFERSON, NY 11777-1718
(631) 509-1134
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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