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Organization subpart
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Provider details

NPI number
Authorized official
MS. ALYSSA MARIE CARPENTER MA (SPECIAL EDUCATION TEACHER)
(631) 806-3578
Entity
Organization

Contact information

Practice address
25 LITTLE PLAINS RD, HUNTINGTION, NY 11743
(631) 806-3578
Mailing address
25 LITTLE PLAINS RD, HUNTINGTION, NY 11743

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1161210
NY

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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