Individual
STEPHANIE TOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
572 ROUTE 6, MAHOPAC, NY 10541
(845) 731-9006
Mailing address
572 ROUTE 6, MAHOPAC, NY 10541
(845) 731-9006
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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