Organization
DOMINIQUE ST LOUIS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE ST LOUIS MS. SPED (SPECIAL EDUCATION TEACHER)
(516) 770-7162
Entity
Organization
Contact information
Practice address
905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
(516) 770-7162
Mailing address
905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
(516) 770-7162
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
818618
NY
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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