Individual
TAYLOR BLISS DAMBROSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 CARNEGIE AVE, HUNTINGTON, NY 11743
(631) 896-4530
Mailing address
38 CARNEGIE AVE, HUNTINGTON, NY 11743
(631) 896-4530
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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