Individual
RACHEL SUDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 HOPE DR, PLAINVIEW, NY 11803-5647
(516) 521-9744
Mailing address
24 HOPE DR, PLAINVIEW, NY 11803-5647
(516) 521-9744
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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